{
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"FirstLineMailingAddress": "7400 PEPPERTREE CIR N",
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"MailingAddressStateName": "FL",
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"FirstLinePracticeLocationAddress": "17890 NW 2ND ST",
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"EnumerationDate": "04/06/2016",
"LastUpdateDate": "04/06/2016",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARTIN LUGO",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialTelephoneNumber": "954-442-6090",
"Taxonomies": {
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"TaxonomyName": "Internal Medicine Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}