{
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"NPI": "1790376069",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMES P. DENUNZIO, D.D.S., P.L.L.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "311 N BROOME AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LINDENHURST",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11757-3834",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-233-4036",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5505 NESCONSET HWY STE 230",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOUNT SINAI",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11766-2048",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-331-8989",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/29/2021",
"LastUpdateDate": "01/29/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DENUNZIO",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "PETER",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "516-233-4036",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}