{
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"FirstLineMailingAddress": "18356 NW 47TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIAMI GARDENS",
"MailingAddressStateName": "FL",
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"FirstLinePracticeLocationAddress": "18356 NW 47TH AVE",
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"PracticeLocationAddressCityName": "MIAMI GARDENS",
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"EnumerationDate": "05/06/2014",
"LastUpdateDate": "05/06/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BASSI",
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"AuthorizedOfficialTelephoneNumber": "305-620-7155",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}