{
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"EIN": null,
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"OrgName": "LEON P PERLSTEIN, D.P.M., P.A.",
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"FirstLineMailingAddress": "2520 MARINA BAY DR E APT 104",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT LAUDERDALE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33312-2322",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "786-315-1111",
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"FirstLinePracticeLocationAddress": "5961 NW 61ST AVE APT 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TAMARAC",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "754-666-3338",
"PracticeLocationAddressFaxNumber": "754-200-6057",
"EnumerationDate": "01/06/2016",
"LastUpdateDate": "02/06/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PERLSTEIN",
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"AuthorizedOfficialMiddleName": "PERRY",
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"AuthorizedOfficialCredential": "DPM",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Podiatrist",
"LicenseNumber": "PO3054",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}