{
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"FirstLineMailingAddress": "900 UNIVERSITY BLVD N",
"SecondLineMailingAddress": "SUITE 606",
"MailingAddressCityName": "JACKSONVILLE",
"MailingAddressStateName": "FL",
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"FirstLinePracticeLocationAddress": "900 UNIVERSITY BLVD N",
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"PracticeLocationAddressTelephoneNumber": "904-253-2351",
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"EnumerationDate": "06/08/2010",
"LastUpdateDate": "06/08/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BEALYER",
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"Taxonomies": {
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"TaxonomyName": "Public Health or Welfare Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}