{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MICHAEL D SABLE, M.D. P.C.",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"FirstLineMailingAddress": "165 N VILLAGE AVE",
"SecondLineMailingAddress": "SUITE 132",
"MailingAddressCityName": "ROCKVILLE CENTRE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11570-3761",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-766-5851",
"MailingAddressFaxNumber": "516-766-5959",
"FirstLinePracticeLocationAddress": "165 N VILLAGE AVE",
"SecondLinePracticeLocationAddress": "SUITE 132",
"PracticeLocationAddressCityName": "ROCKVILLE CENTRE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11570-3761",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-766-5851",
"PracticeLocationAddressFaxNumber": "516-766-5959",
"EnumerationDate": "06/06/2006",
"LastUpdateDate": "02/10/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SABLE",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "EXECUTIVE OFFICER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M. D.",
"AuthorizedOfficialTelephoneNumber": "516-766-5851",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207W00000X",
"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "200226",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}