{
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"FirstLineMailingAddress": "F-89 CALLE REINA ISABEL",
"SecondLineMailingAddress": "MANSIONES PASEO DE REYES",
"MailingAddressCityName": "JUANA DIAZ",
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"MailingAddressPostalCode": "00795-4010",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-837-6419",
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"FirstLinePracticeLocationAddress": "CALLE CARRION MADURO",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "787-260-4859",
"EnumerationDate": "08/05/2011",
"LastUpdateDate": "09/07/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURGOS-RODRIGUEZ",
"AuthorizedOfficialFirstName": "ROBERTO",
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"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "787-308-8547",
"Taxonomies": {
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"TaxonomyName": "Obstetrics Physician",
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"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}