{
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"OrgName": "TEN'S MEDICAL P.C",
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"FirstLineMailingAddress": "105 BENTON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STATEN ISLAND",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10305-2422",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "646-825-1353",
"MailingAddressFaxNumber": "718-748-4203",
"FirstLinePracticeLocationAddress": "105 BENTON AVE",
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"PracticeLocationAddressCityName": "STATEN ISLAND",
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"PracticeLocationAddressFaxNumber": "718-748-4203",
"EnumerationDate": "09/15/2009",
"LastUpdateDate": "09/15/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TEN",
"AuthorizedOfficialFirstName": "SVETLANA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PEDIATRIC ENDOCRINE",
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"AuthorizedOfficialCredential": "M.D.,",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Specialist",
"LicenseNumber": "02350558",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}