{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "TAGER, LEW, DEGAETANO",
"LastName": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "3930 RICHMOND AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STATEN ISLAND",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10312-5100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-356-1477",
"MailingAddressFaxNumber": "718-317-0220",
"FirstLinePracticeLocationAddress": "3930 RICHMOND AVE",
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"PracticeLocationAddressCityName": "STATEN ISLAND",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10312-5100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-356-1477",
"PracticeLocationAddressFaxNumber": "718-317-0220",
"EnumerationDate": "02/27/2006",
"LastUpdateDate": "07/15/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEGAETANO",
"AuthorizedOfficialFirstName": "FRANK",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DENTIST",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "718-356-1477",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "0268881",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}