{
"Npi": {
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"EIN": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "221 WHATLEY BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEBRING",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33872-3768",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "221 WHATLEY BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEBRING",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "863-214-5256",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/25/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "177F00000X",
"TaxonomyName": "Lodging Provider",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}