{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "REDFERN DRUGS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1485 BEACH CHANNEL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FAR ROCKAWAY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11691-3800",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-471-3090",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1485 BEACH CHANNEL DR",
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"PracticeLocationAddressCityName": "FAR ROCKAWAY",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-471-3090",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/13/2009",
"LastUpdateDate": "11/21/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YAGUDAYEV",
"AuthorizedOfficialFirstName": "STEVE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "718-471-3090",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "029414",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}