{
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"EIN": null,
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"FirstLineMailingAddress": "10010 BELLE RIVE BLVD",
"SecondLineMailingAddress": "# 808",
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"FirstLinePracticeLocationAddress": "841 PRUDENTIAL DR",
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"PracticeLocationAddressTelephoneNumber": "904-346-0394",
"PracticeLocationAddressFaxNumber": "904-398-6015",
"EnumerationDate": "09/26/2008",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Occupational Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}