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,{"mmis_id":"01243356","npi":"1114021888","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"PHARMACY","service_address":"753 FORT SALONGA RD","city":"NORTHPORT","state":"NY","zip_code":"11768-3148","county":"SUFFOLK","telephone":"6317548374","latitude":"040.896010","longitude":"-073.335450","enrollment_begin_date":"1991-07-22T00:00:00.000","next_anticipated_revalidation_date":"2025-12-30T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}]
