{
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"FirstLineMailingAddress": "13386 KENT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NAPLES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34109-3929",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "239-529-4100",
"MailingAddressFaxNumber": "954-510-2086",
"FirstLinePracticeLocationAddress": "501 GOODLETTE RD N STE A103",
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"PracticeLocationAddressCityName": "NAPLES",
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"EnumerationDate": "10/08/2015",
"LastUpdateDate": "04/09/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TROUP",
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"AuthorizedOfficialCredential": "DO",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}