{
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"FirstLineMailingAddress": "PO BOX 593869",
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"MailingAddressCityName": "ORLANDO",
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"MailingAddressPostalCode": "32859-3869",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "352-241-6100",
"MailingAddressFaxNumber": "352-241-6101",
"FirstLinePracticeLocationAddress": "3725 SOUTH HIGHWAY 27",
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"EnumerationDate": "11/03/2017",
"LastUpdateDate": "11/03/2017",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "KOLB",
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"AuthorizedOfficialTelephoneNumber": "770-833-1456",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}