{
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"OrgName": "LIBERTY CARE MEDICAL PC",
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"FirstLineMailingAddress": "2132 E 27TH ST",
"SecondLineMailingAddress": "2ND FLOOR",
"MailingAddressCityName": "BROOKLYN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11229-5012",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-332-4111",
"MailingAddressFaxNumber": "718-332-4112",
"FirstLinePracticeLocationAddress": "174 BRIGHTON 11TH ST",
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"PracticeLocationAddressCityName": "BROOKLYN",
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"PracticeLocationAddressTelephoneNumber": "718-332-4111",
"PracticeLocationAddressFaxNumber": "718-332-4112",
"EnumerationDate": "05/30/2008",
"LastUpdateDate": "09/10/2012",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DUBOV",
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"AuthorizedOfficialTelephoneNumber": "718-332-4111",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Medical Specialty Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}