{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "D'ANN MEDICAL & ESTHETIQUE, PSC",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "203 VIA ENRAMADA",
"SecondLineMailingAddress": "ENTRERIOS",
"MailingAddressCityName": "TRUJILLO ALTO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00976-6176",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "129-28 AVE ROBERTO CLEMENTE",
"SecondLinePracticeLocationAddress": "VILLA CAROLINA",
"PracticeLocationAddressCityName": "CAROLINA",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00985-5324",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-757-5100",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/23/2014",
"LastUpdateDate": "10/23/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAMIREZ",
"AuthorizedOfficialFirstName": "ANA",
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"AuthorizedOfficialCredential": "M.D",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": "11417",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}