{
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"FirstLineMailingAddress": "368 BROADWAY STE 18",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SARATOGA SPRINGS",
"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "368 BROADWAY STE 18",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SARATOGA SPRINGS",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressTelephoneNumber": "518-450-7111",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/15/2021",
"LastUpdateDate": "02/15/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARIRI",
"AuthorizedOfficialFirstName": "MARYAM",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "518-450-7111",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}