{
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"FirstLineMailingAddress": "15460 NW 83RD PL",
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"MailingAddressCityName": "MIAMI LAKES",
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"MailingAddressPostalCode": "33016-5836",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "954-443-1989",
"FirstLinePracticeLocationAddress": "735 COMMERCE CENTER DR",
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"EnumerationDate": "03/05/2013",
"LastUpdateDate": "05/13/2015",
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"AuthorizedOfficialLastName": "VILLAFANE",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2084P0800X",
"TaxonomyName": "Psychiatry Physician",
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"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}