{
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"OrgName": "GIDEON L SCHNECK MD PC",
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"FirstLineMailingAddress": "2500 NESCONSET HWY 17B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STONY BROOK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11790",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-246-9140",
"MailingAddressFaxNumber": "631-246-9244",
"FirstLinePracticeLocationAddress": "2500 NESCONSET HWY 17B",
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"PracticeLocationAddressCityName": "STONY BROOK",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "631-246-9244",
"EnumerationDate": "03/27/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHNECK",
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"AuthorizedOfficialMiddleName": "LLOYD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "185627",
"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."
}
}
}
}