{
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"FirstLineMailingAddress": "2241 16TH AVE SW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NAPLES",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "239-919-7139",
"MailingAddressFaxNumber": "833-876-8887",
"FirstLinePracticeLocationAddress": "1110 PINE RIDGE RD STE 204",
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"PracticeLocationAddressCityName": "NAPLES",
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"PracticeLocationAddressTelephoneNumber": "239-919-7139",
"PracticeLocationAddressFaxNumber": "833-876-8887",
"EnumerationDate": "03/04/2020",
"LastUpdateDate": "03/04/2020",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ELLIS",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}