{
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"OrgName": "PARADISE MEDICAL SUPPLY, INC.",
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"FirstLineMailingAddress": "352 SAN CLAUDIO ST. , PMB 274",
"SecondLineMailingAddress": "URB. SAGRADO CORAZON",
"MailingAddressCityName": "SAN JUAN",
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"MailingAddressPostalCode": "00926-4143",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-633-7423",
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"FirstLinePracticeLocationAddress": "809 MOLUCAS STREET",
"SecondLinePracticeLocationAddress": "COUNTRY CLUB",
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"EnumerationDate": "07/24/2006",
"LastUpdateDate": "05/04/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIVERA",
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"AuthorizedOfficialTelephoneNumber": "787-633-7423",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": "4308950001",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}