{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "2836 ENTERPRISE RD STE 5",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DEBARY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32713-5210",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-845-1200",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2836 ENTERPRISE RD STE 5",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DEBARY",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/21/2021",
"LastUpdateDate": "06/21/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "IBRAHIM",
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"AuthorizedOfficialTitle": "PHARMACIST",
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"AuthorizedOfficialCredential": "PHARM-D, BCPS,BCCCP",
"AuthorizedOfficialTelephoneNumber": "407-580-3397",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}