{
"Npi": {
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"EIN": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "253 SILVER ST APT 3L",
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"MailingAddressCityName": "MANCHESTER",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03103-5556",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-577-7719",
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"FirstLinePracticeLocationAddress": "253 SILVER ST APT 3L",
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"PracticeLocationAddressCityName": "MANCHESTER",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-577-7719",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/03/2025",
"LastUpdateDate": "02/22/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171WV0202X",
"TaxonomyName": "Vehicle Modifications Contractor",
"LicenseNumber": "991849",
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}