{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SANDRA E. EGINTON",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "2005 S.W. PROVICENCE PLACE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORT SAINT LUCIE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34953-0458",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-403-1127",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2005 S.W. PROVICENCE PLACE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PORT SAINT LUCIE",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressTelephoneNumber": "951-403-1127",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/17/2010",
"LastUpdateDate": "03/17/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EGINTON",
"AuthorizedOfficialFirstName": "SANDRA",
"AuthorizedOfficialMiddleName": "ESMERALDA",
"AuthorizedOfficialTitle": "TARGETED CASE MANAGER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "951-403-1127",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251B00000X",
"TaxonomyName": "Case Management Agency",
"LicenseNumber": "251B00000X",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}