{
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"OrgName": "FRANGELLA DENTAL PLLC",
"LastName": null,
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"FirstLineMailingAddress": "200 WEST 57TH ST",
"SecondLineMailingAddress": "SUITE 1405",
"MailingAddressCityName": "NEW YORK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10019-4702",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-245-2888",
"MailingAddressFaxNumber": "212-245-2488",
"FirstLinePracticeLocationAddress": "200 W 57TH ST",
"SecondLinePracticeLocationAddress": "SUITE 1405",
"PracticeLocationAddressCityName": "NEW YORK",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "212-245-2888",
"PracticeLocationAddressFaxNumber": "212-245-2488",
"EnumerationDate": "03/25/2011",
"LastUpdateDate": "03/24/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRANGELLA",
"AuthorizedOfficialFirstName": "ANDREW",
"AuthorizedOfficialMiddleName": "DOMINIC",
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"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "212-245-2888",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "0521081",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}