{
"Npi": {
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"EIN": null,
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"LastName": "SILLER",
"FirstName": "RANDALL",
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2631 CENTER COURT DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESTON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33332-1832",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-217-8394",
"MailingAddressFaxNumber": "954-432-6905",
"FirstLinePracticeLocationAddress": "10041 PINES BLVD",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "PEMBROKE PINES",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33024-6170",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-432-6677",
"PracticeLocationAddressFaxNumber": "954-432-6905",
"EnumerationDate": "05/08/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "OS4734",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}