{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "353 NEWBRIDGE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EAST MEADOW",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11554-4120",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-785-0120",
"MailingAddressFaxNumber": "516-785-0715",
"FirstLinePracticeLocationAddress": "2226 JERICHO TPKE",
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"PracticeLocationAddressCityName": "GARDEN CITY PARK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-873-8600",
"PracticeLocationAddressFaxNumber": "516-873-8604",
"EnumerationDate": "03/19/2016",
"LastUpdateDate": "07/08/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOHABIR",
"AuthorizedOfficialFirstName": "RANDOLPH",
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"AuthorizedOfficialTitle": "OWNER, AO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "516-785-0120",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}