{
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"FirstLineMailingAddress": "11231 NW 27TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PLANTATION",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33323-1865",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-830-8049",
"MailingAddressFaxNumber": "954-252-1954",
"FirstLinePracticeLocationAddress": "4801 S UNIVERSITY DR",
"SecondLinePracticeLocationAddress": "SUITE 262",
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"EnumerationDate": "03/09/2010",
"LastUpdateDate": "03/22/2017",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "BARRETT",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "ARNP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "2675462",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}