{
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"NPI": "1255854915",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "DR. CHRISTIANA MARRON, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5471 WILES RD APT 106",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COCONUT CREEK",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33073-4252",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5471 WILES RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COCONUT CREEK",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-629-6122",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/24/2017",
"LastUpdateDate": "07/24/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARRON",
"AuthorizedOfficialFirstName": "CHRISTIANA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/MANAGER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPT",
"AuthorizedOfficialTelephoneNumber": "845-629-6122",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "31525",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}