{
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"OrgName": "ANGELA WHITE ARNP PLLC",
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"FirstLineMailingAddress": "5000-18 HWY 17",
"SecondLineMailingAddress": "#44",
"MailingAddressCityName": "FLEMING ISLAND",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32003",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "514 LOS PALMAS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FLEMING ISLAND",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-544-3608",
"PracticeLocationAddressFaxNumber": "904-263-5381",
"EnumerationDate": "08/28/2017",
"LastUpdateDate": "10/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHITE",
"AuthorizedOfficialFirstName": "ANGELA",
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"AuthorizedOfficialCredential": "ARNP PHD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "3298772",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}