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,{"mmis_id":"01638119","npi":"1174627921","mmis_name":"CVS ALBANY LLC","medicaid_type":"FFS","profession_or_service":"PHARMACY","service_address":"6126 188TH ST","city":"FRESH MEADOWS","state":"NY","zip_code":"11365-2713","county":"QUEENS","telephone":"7184544433","latitude":"040.740240","longitude":"-073.787220","enrollment_begin_date":"1996-01-19T00:00:00.000","next_anticipated_revalidation_date":"2026-01-07T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}]