{
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"FirstLineMailingAddress": "197 PONCE DE LEON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROYAL PALM BEACH",
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"MailingAddressPostalCode": "33411-1234",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-907-6956",
"MailingAddressFaxNumber": "561-513-9365",
"FirstLinePracticeLocationAddress": "197 PONCE DE LEON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROYAL PALM BEACH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-907-6956",
"PracticeLocationAddressFaxNumber": "561-513-9365",
"EnumerationDate": "08/18/2017",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JEANDENIS",
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"AuthorizedOfficialTelephoneNumber": "561-907-6956",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}