{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "P AND D PHARMACY DISCOUNT INC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "2360 W 68TH ST",
"SecondLineMailingAddress": "STE 113-114",
"MailingAddressCityName": "HIALEAH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33016-5514",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-556-6672",
"MailingAddressFaxNumber": "305-556-7275",
"FirstLinePracticeLocationAddress": "2360 W 68TH ST STE 113-114",
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"PracticeLocationAddressCityName": "HIALEAH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-556-6672",
"PracticeLocationAddressFaxNumber": "305-556-7275",
"EnumerationDate": "07/22/2006",
"LastUpdateDate": "02/20/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEREZ",
"AuthorizedOfficialFirstName": "JOSE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "305-556-6672",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}