{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CARDIOCORPS LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "445 CARAWAY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KISSIMMEE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34759-5403",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "863-496-4850",
"MailingAddressFaxNumber": "877-839-6499",
"FirstLinePracticeLocationAddress": "445 CARAWAY DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KISSIMMEE",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "863-496-4850",
"PracticeLocationAddressFaxNumber": "877-839-6499",
"EnumerationDate": "06/07/2011",
"LastUpdateDate": "10/26/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NALUPARA",
"AuthorizedOfficialFirstName": "ALVIN",
"AuthorizedOfficialMiddleName": "A.",
"AuthorizedOfficialTitle": "OWNER/CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RRT",
"AuthorizedOfficialTelephoneNumber": "919-744-4141",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "HCC9223",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}