{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "UNIVITA SPECIALTY INFUSION PHARMACY LLC",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"OtherOrgNameTypeCode": "6",
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"FirstLineMailingAddress": "11000 PRAIRIE LAKES DR",
"SecondLineMailingAddress": "SUITE 600",
"MailingAddressCityName": "EDEN PRAIRIE",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55344-3885",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "952-546-6800",
"MailingAddressFaxNumber": "952-983-5202",
"FirstLinePracticeLocationAddress": "3700 COMMERCE PKWY",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "MIRAMAR",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33025-3912",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-217-6055",
"PracticeLocationAddressFaxNumber": "954-217-6062",
"EnumerationDate": "10/30/2009",
"LastUpdateDate": "06/21/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FINKEL",
"AuthorizedOfficialFirstName": "ARNOLD",
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"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "954-217-6055",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
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"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336S0011X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}