{
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"FirstLineMailingAddress": "764 SE RIVER CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORT SAINT LUCIE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34983-2775",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "772-323-7576",
"MailingAddressFaxNumber": "772-224-2517",
"FirstLinePracticeLocationAddress": "764 SE RIVER CT",
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"PracticeLocationAddressCityName": "PORT SAINT LUCIE",
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"PracticeLocationAddressTelephoneNumber": "772-323-7576",
"PracticeLocationAddressFaxNumber": "772-224-2517",
"EnumerationDate": "04/05/2010",
"LastUpdateDate": "04/05/2010",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CAMARDA",
"AuthorizedOfficialFirstName": "BRITNI",
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"AuthorizedOfficialCredential": "M.A. CCC/SLP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Speech-Language Pathologist",
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"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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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."
}
}
}
}