{
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"OrgName": "BACK IN ACTION",
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"NamePrefix": null,
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"FirstLineMailingAddress": "4022 N OCEAN BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FT LAUDERDALE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33308",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-567-2617",
"MailingAddressFaxNumber": "954-567-2819",
"FirstLinePracticeLocationAddress": "4022 N OCEAN BLVD",
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"PracticeLocationAddressCityName": "FT LAUDERDALE",
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"PracticeLocationAddressFaxNumber": "954-567-2819",
"EnumerationDate": "12/20/2006",
"LastUpdateDate": "08/30/2007",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRADLEY",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}