{
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"FirstLineMailingAddress": "2035 CASTLE GARDEN LANE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NAPLES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34110-1093",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "239-513-0087",
"MailingAddressFaxNumber": "239-513-2084",
"FirstLinePracticeLocationAddress": "11225 TAMIAMI TRAIL NORTH",
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"PracticeLocationAddressTelephoneNumber": "239-591-0110",
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"EnumerationDate": "01/18/2007",
"LastUpdateDate": "05/11/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAURO",
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"AuthorizedOfficialCredential": "OD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Optometrist",
"LicenseNumber": "OPC001677",
"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."
}
}
}
}