{
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"FirstLineMailingAddress": "54 RYARBOR DR",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "80 PINNACLES DR STE 900",
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"PracticeLocationAddressFaxNumber": "386-263-7270",
"EnumerationDate": "11/04/2019",
"LastUpdateDate": "10/05/2020",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BENET",
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"AuthorizedOfficialTelephoneNumber": "386-237-1821",
"Taxonomies": {
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{
"TaxonomyCode": "332B00000X",
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},
{
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},
{
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}
]
},
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}
}