{
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"FirstLineMailingAddress": "155 CRANES ROOST BLVD",
"SecondLineMailingAddress": "SUITE 2090",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-388-8866",
"MailingAddressFaxNumber": "407-494-0644",
"FirstLinePracticeLocationAddress": "155 CRANES ROOST BLVD",
"SecondLinePracticeLocationAddress": "SUITE 2090",
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"PracticeLocationAddressTelephoneNumber": "407-388-8866",
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"EnumerationDate": "11/02/2016",
"LastUpdateDate": "11/02/2016",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOURA",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}