{
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"FirstLineMailingAddress": "5451 N UNIVERSITY DR STE 103",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CORAL SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33067-4641",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "5451 N UNIVERSITY DR STE 103",
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"PracticeLocationAddressCityName": "CORAL SPRINGS",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/21/2020",
"LastUpdateDate": "07/21/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAIR",
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"AuthorizedOfficialCredential": "USMC CPTS, NSCA, ACS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}