{
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"FirstLineMailingAddress": "630 EAST PARK AVENUE",
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"MailingAddressCityName": "LONG BEACH",
"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-432-2900",
"MailingAddressFaxNumber": "516-432-2904",
"FirstLinePracticeLocationAddress": "630 EAST PARK AVENUE",
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"PracticeLocationAddressCityName": "LONG BEACH",
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"PracticeLocationAddressTelephoneNumber": "516-432-2900",
"PracticeLocationAddressFaxNumber": "516-432-2904",
"EnumerationDate": "05/03/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LOEWENSTEIN",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
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"TaxonomyName": "Endoscopy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}