{
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"FirstLineMailingAddress": "1700 NW 65TH AVE # 13A",
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"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1701 GREEN RD STE A5-1",
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"PracticeLocationAddressCityName": "DEERFIELD BEACH",
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"EnumerationDate": "01/27/2020",
"LastUpdateDate": "08/20/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "GIORGIANNI",
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"AuthorizedOfficialTelephoneNumber": "954-200-2053",
"Taxonomies": {
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"TaxonomyName": "Clinical Medical Laboratory",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}