{
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"FirstLineMailingAddress": "16250 NW 19TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEMBROKE PINES",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1201 NW 16TH ST",
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"EnumerationDate": "03/26/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARTINEZ",
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"Taxonomies": {
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"TaxonomyName": "General Acute Care Hospital",
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}
},
"HealthcareProviderTaxonomyGroups": null
}
}