{
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"FirstLineMailingAddress": "5025 TUGGLE RD # 100",
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"MailingAddressStateName": "TN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "866-842-2147",
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"FirstLinePracticeLocationAddress": "100 TECHNOLOGY PARK STE 158",
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"PracticeLocationAddressCityName": "LAKE MARY",
"PracticeLocationAddressStateName": "FL",
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"EnumerationDate": "04/20/2026",
"LastUpdateDate": "04/20/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LESTER",
"AuthorizedOfficialFirstName": "DONDRELL",
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"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
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"AuthorizedOfficialCredential": "PHARM.D.",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}