{
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"FirstLineMailingAddress": "7805 CORAL WAY",
"SecondLineMailingAddress": "SUITE 103",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-398-0807",
"MailingAddressFaxNumber": "305-269-8825",
"FirstLinePracticeLocationAddress": "7805 CORAL WAY",
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"PracticeLocationAddressFaxNumber": "305-269-8825",
"EnumerationDate": "08/23/2010",
"LastUpdateDate": "08/23/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PALACIO",
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"AuthorizedOfficialTelephoneNumber": "305-398-0807",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}