{
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"FirstLineMailingAddress": "L8 CALLE 16",
"SecondLineMailingAddress": "URB METROPOLIS",
"MailingAddressCityName": "CAROLINA",
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"MailingAddressPostalCode": "00987",
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"FirstLinePracticeLocationAddress": "L8 CALLE 16",
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"EnumerationDate": "10/20/2016",
"LastUpdateDate": "10/20/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DE JESUS",
"AuthorizedOfficialFirstName": "CAROLINE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "D.C.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Chiropractor",
"LicenseNumber": "616",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}