{
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"FirstLineMailingAddress": "4420 S HOPKINS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TITUSVILLE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32780-6690",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "4420 S HOPKINS AVE",
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"EnumerationDate": "07/20/2012",
"LastUpdateDate": "02/02/2013",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ALFONSO",
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"Taxonomies": {
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"TaxonomyName": "Medical Specialty Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}