{
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"OrgName": "LIFEWAYS NUTRITION, PLLC",
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"FirstLineMailingAddress": "170 E 89TH ST",
"SecondLineMailingAddress": "SUITE 4E",
"MailingAddressCityName": "NEW YORK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10128-2311",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "261 E 78TH ST",
"SecondLinePracticeLocationAddress": "6TH FLOOR",
"PracticeLocationAddressCityName": "NEW YORK",
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"EnumerationDate": "07/25/2013",
"LastUpdateDate": "03/01/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARDILE",
"AuthorizedOfficialFirstName": "DEBORAH",
"AuthorizedOfficialMiddleName": "ANN",
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"AuthorizedOfficialCredential": "M.S., CDN",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nutritionist",
"LicenseNumber": "002215",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}