{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DLKA HOLDINGS, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 915726",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LONGWOOD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32791-5726",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-682-3211",
"MailingAddressFaxNumber": "407-682-1314",
"FirstLinePracticeLocationAddress": "181 SABAL PALM DR STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LONGWOOD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32779-2594",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-682-3211",
"PracticeLocationAddressFaxNumber": "407-682-1314",
"EnumerationDate": "12/01/2010",
"LastUpdateDate": "12/01/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILLER",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "S",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH, CPH",
"AuthorizedOfficialTelephoneNumber": "407-682-3211",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PH-24338",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}