{
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"FirstLineMailingAddress": "1403 W. BOYNTON BEACH BLVD.",
"SecondLineMailingAddress": "#13",
"MailingAddressCityName": "BOYNTON BEACH",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-374-7437",
"MailingAddressFaxNumber": "561-364-7414",
"FirstLinePracticeLocationAddress": "1403 W. BOYNTON BEACH BLVD.",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-374-7437",
"PracticeLocationAddressFaxNumber": "561-364-7414",
"EnumerationDate": "01/17/2008",
"LastUpdateDate": "09/02/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LINDSEY",
"AuthorizedOfficialFirstName": "ANDREW",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "954-577-0177",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2084P2900X",
"TaxonomyName": "Pain Medicine (Psychiatry & Neurology) Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}