{
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"FirstLineMailingAddress": "3600 W COMMERCIAL BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT LAUDERDALE",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-202-7729",
"MailingAddressFaxNumber": "954-202-7729",
"FirstLinePracticeLocationAddress": "5990 N FEDERAL HWY",
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"PracticeLocationAddressCityName": "FORT LAUDERDALE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "877-877-9700",
"PracticeLocationAddressFaxNumber": "877-877-9708",
"EnumerationDate": "11/02/2006",
"LastUpdateDate": "03/04/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAMBURIAN",
"AuthorizedOfficialFirstName": "MELANIE",
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"AuthorizedOfficialTitle": "PARALEGAL",
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"AuthorizedOfficialCredential": "PHARMACIST",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336M0002X",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
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},
{
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"LicenseNumber": "PH22301",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}