{
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"FirstLineMailingAddress": "2101 CHAGALL CIR",
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"MailingAddressCityName": "WEST PALM BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33409-7527",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "4671 S CONGRESS AVE",
"SecondLinePracticeLocationAddress": "SUITE 100-A",
"PracticeLocationAddressCityName": "LAKE WORTH",
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"PracticeLocationAddressCountryCode": "US",
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"EnumerationDate": "09/22/2006",
"LastUpdateDate": "09/16/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "ARNP1963182",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}