{
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"FirstLineMailingAddress": "DR PAVIA ST # 700",
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"MailingAddressFaxNumber": "787-982-3822",
"FirstLinePracticeLocationAddress": "700 CALLE DR PAVIA FERNANDEZ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-982-5328",
"PracticeLocationAddressFaxNumber": "787-982-3822",
"EnumerationDate": "10/04/2005",
"LastUpdateDate": "11/14/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Physician",
"LicenseNumber": "13682",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}