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,{"mmis_id":"00366014","npi":"1497859243","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"PHARMACY","service_address":"625 W CLINTON ST","city":"ITHACA","state":"NY","zip_code":"14850-5235","county":"TOMPKINS","telephone":"6072733647","latitude":"042.436540","longitude":"-076.506930","enrollment_begin_date":"1979-08-01T00:00:00.000","next_anticipated_revalidation_date":"2026-08-05T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}]
