{
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"OrgName": "A&S OPTICAL, PSC",
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"FirstLineMailingAddress": "250 CALLE CRUZ ORTIZ STELLA STE 11",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUMACAO",
"MailingAddressStateName": "PR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "939-428-1140",
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"FirstLinePracticeLocationAddress": "250 CALLE CRUZ ORTIZ STELLA STE 11",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "877-496-5503",
"EnumerationDate": "08/01/2012",
"LastUpdateDate": "08/02/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALVARADO",
"AuthorizedOfficialFirstName": "ILIANA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "787-367-6238",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
]
}
}
}