{
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"OrgName": "GUAYNABO AMBULATORY SURGICAL GROUP, INC",
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"FirstLineMailingAddress": "CITY VIEW PLAZA LOBBY SUITE 1010 TORRE II",
"SecondLineMailingAddress": "CARR. 165 KM 1.2 #48",
"MailingAddressCityName": "GUAYNABO",
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"MailingAddressPostalCode": "00968",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-775-2020",
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"FirstLinePracticeLocationAddress": "CARR 165 # KM1",
"SecondLinePracticeLocationAddress": "SUITE 1010 CITY VIEW PLAZA II",
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"PracticeLocationAddressTelephoneNumber": "787-775-2020",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/19/2008",
"LastUpdateDate": "07/30/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JIMENEZ",
"AuthorizedOfficialFirstName": "ANGIE",
"AuthorizedOfficialMiddleName": "L.",
"AuthorizedOfficialTitle": "BUSINESS OFFICE MANAGER",
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"AuthorizedOfficialCredential": "MPHE",
"AuthorizedOfficialTelephoneNumber": "787-522-2825",
"Taxonomies": {
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"TaxonomyName": "Ambulatory Surgical Clinic/Center",
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}
},
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}
}