{
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"FirstLineMailingAddress": "2424 FRANKFORD AVE",
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"MailingAddressCityName": "PANAMA CITY",
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"FirstLinePracticeLocationAddress": "3025 6TH ST",
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"PracticeLocationAddressCityName": "MARIANNA",
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"EnumerationDate": "02/13/2012",
"LastUpdateDate": "02/13/2012",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FEITZ",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": "EUGENE",
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"AuthorizedOfficialCredential": "PODIATRY",
"AuthorizedOfficialTelephoneNumber": "850-784-9787",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "213ES0103X",
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},
{
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},
{
"TaxonomyCode": "213E00000X",
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}