{
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"EIN": null,
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"FirstLineMailingAddress": "17368 NW 173RD RD",
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"MailingAddressCityName": "ALACHUA",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "251-458-3904",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "17368 NW 173RD RD",
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"PracticeLocationAddressTelephoneNumber": "251-458-3904",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/28/2024",
"LastUpdateDate": "05/28/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHERMAN",
"AuthorizedOfficialFirstName": "YASHIRA",
"AuthorizedOfficialMiddleName": "MARIE",
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"AuthorizedOfficialCredential": "RN",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}