{
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"FirstLineMailingAddress": "HC 3 BOX 50801",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HATILLO",
"MailingAddressStateName": "PR",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CARR. 653 KM 2.0 SECTOR BARRANCA",
"SecondLinePracticeLocationAddress": "HATO ABAJO",
"PracticeLocationAddressCityName": "ARECIBO",
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"PracticeLocationAddressTelephoneNumber": "787-879-5700",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/27/2023",
"LastUpdateDate": "07/18/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEREZ JIMENEZ",
"AuthorizedOfficialFirstName": "LISANDRA",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}