{
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"FirstLineMailingAddress": "31729 PARKDALE DR",
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"MailingAddressCityName": "LEESBURG",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34748-6144",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "352-326-8751",
"FirstLinePracticeLocationAddress": "31729 PARKDALE DR",
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"PracticeLocationAddressFaxNumber": "352-326-8751",
"EnumerationDate": "05/11/2017",
"LastUpdateDate": "05/11/2017",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AGUILAR",
"AuthorizedOfficialFirstName": "JOSUE",
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"AuthorizedOfficialTelephoneNumber": "352-459-9772",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pulmonary Diagnostics Certified Respiratory Therapist",
"LicenseNumber": "RT8225",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}