{
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"FirstLineMailingAddress": "209 W MAIN ST",
"SecondLineMailingAddress": "SUITE 2",
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"MailingAddressPostalCode": "12953-6400",
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"MailingAddressTelephoneNumber": "518-521-3843",
"MailingAddressFaxNumber": "518-319-4242",
"FirstLinePracticeLocationAddress": "209 W MAIN ST",
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"EnumerationDate": "07/07/2015",
"LastUpdateDate": "07/07/2015",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "FEINBERG",
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"Taxonomies": {
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"TaxonomyName": "Dental Anesthesiology",
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"LicenseNumberStateCode": "NY",
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}
},
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}
}
}
}