{
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"OrgName": "MICHAEL ROSE PT INC",
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"FirstLineMailingAddress": "6399 NW 47TH CT # 426",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CORAL SPRINGS",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-621-2068",
"MailingAddressFaxNumber": "954-719-5664",
"FirstLinePracticeLocationAddress": "15455 W DIXIE HWY STE B",
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"PracticeLocationAddressCityName": "NORTH MIAMI BEACH",
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"PracticeLocationAddressTelephoneNumber": "215-278-0063",
"PracticeLocationAddressFaxNumber": "954-719-5664",
"EnumerationDate": "04/18/2023",
"LastUpdateDate": "07/26/2025",
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"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSENFIELD",
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"AuthorizedOfficialTitle": "OWNER/MANAGING MEMBER",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}