{
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"FirstLineMailingAddress": "2105 TWIN PEAKS CT",
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"FirstLinePracticeLocationAddress": "1110 OPAL CT STE 4&5",
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"EnumerationDate": "11/13/2017",
"LastUpdateDate": "05/07/2018",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MIRAN",
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"AuthorizedOfficialCredential": "DO",
"AuthorizedOfficialTelephoneNumber": "516-810-4496",
"Taxonomies": {
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{
"TaxonomyCode": "261QS1200X",
"TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
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},
{
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}
]
},
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}
}