{
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"FirstLineMailingAddress": "10051 PINES BLVD STE C",
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"MailingAddressCityName": "PEMBROKE PINES",
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"MailingAddressPostalCode": "33024-6172",
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"FirstLinePracticeLocationAddress": "10051 PINES BLVD STE C",
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"EnumerationDate": "04/17/2013",
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"AuthorizedOfficialLastName": "LAZCANO",
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"Taxonomies": {
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"LicenseNumberStateCode": "FL",
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}
},
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}
}
}
}