{
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"FirstLineMailingAddress": "702 SE 2ND AVE APT 404",
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"MailingAddressCityName": "DEERFIELD BEACH",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-907-0826",
"MailingAddressFaxNumber": "561-300-2156",
"FirstLinePracticeLocationAddress": "702 SE 2ND AVE APT 404",
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"PracticeLocationAddressCityName": "DEERFIELD BEACH",
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"PracticeLocationAddressTelephoneNumber": "954-907-0826",
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"EnumerationDate": "03/08/2013",
"LastUpdateDate": "01/27/2014",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAULDIN",
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"AuthorizedOfficialTelephoneNumber": "954-907-0826",
"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}