{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "1068 ARLINGTON RD N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JACKSONVILLE",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-503-2244",
"MailingAddressFaxNumber": "904-503-2284",
"FirstLinePracticeLocationAddress": "1068 ARLINGTON RD N",
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"PracticeLocationAddressCityName": "JACKSONVILLE",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "904-503-2284",
"EnumerationDate": "01/04/2018",
"LastUpdateDate": "06/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DORCELUS",
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"AuthorizedOfficialTitle": "CENTER DIRECTOR",
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"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "904-503-2244",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "385H00000X",
"TaxonomyName": "Respite Care",
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},
{
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}
]
},
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}
}