{
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"OrgName": "NEW YORK PRESBYTERIAN HOSPITAL",
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"FirstLineMailingAddress": "224 BEDFORD RD APT 5",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PLEASANTVILLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10570-2236",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-769-4354",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "622 W 168TH ST",
"SecondLinePracticeLocationAddress": "HARKNESS PAVILION",
"PracticeLocationAddressCityName": "NEW YORK",
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"PracticeLocationAddressTelephoneNumber": "212-305-4960",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/22/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BROADHURST",
"AuthorizedOfficialFirstName": "SANDRA",
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"AuthorizedOfficialCredential": "FNP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Acute Care Hospital",
"LicenseNumber": "F332527",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}