{
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"NPI": "1952541377",
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEARING & REHABILITATION SERVICES OF LONG ISLAND LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6 MADISON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JERICHO",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11753-1423",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-702-7070",
"MailingAddressFaxNumber": "516-939-6188",
"FirstLinePracticeLocationAddress": "8285 JERICHO TPKE",
"SecondLinePracticeLocationAddress": "(@OPTICS PLUS)",
"PracticeLocationAddressCityName": "WOODBURY",
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"PracticeLocationAddressPostalCode": "11797-1807",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-224-4320",
"PracticeLocationAddressFaxNumber": "516-939-6188",
"EnumerationDate": "02/25/2009",
"LastUpdateDate": "02/25/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEINBERG",
"AuthorizedOfficialFirstName": "BARBARA",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "OWNER/AUDIOLOGIST",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.ED.",
"AuthorizedOfficialTelephoneNumber": "516-702-7070",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "237600000X",
"TaxonomyName": "Audiologist-Hearing Aid Fitter",
"LicenseNumber": "15000009729",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}