{
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"EIN": null,
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"OrgName": "JOSE R ARNAO O.D. P.A.",
"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "3676 NW 23RD DR APT 108",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GAINESVILLE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32605-5676",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-347-0435",
"MailingAddressFaxNumber": "352-505-6416",
"FirstLinePracticeLocationAddress": "6757 W NEWBERRY RD",
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"PracticeLocationAddressCityName": "GAINESVILLE",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-331-2040",
"PracticeLocationAddressFaxNumber": "352-331-1526",
"EnumerationDate": "08/08/2011",
"LastUpdateDate": "08/15/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARNAO",
"AuthorizedOfficialFirstName": "JOSE",
"AuthorizedOfficialMiddleName": "ROBERTO",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "954-347-0435",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "OPC4293",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}