{
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"FirstLineMailingAddress": "2601 13TH AVE W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRADENTON",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2601 13TH AVE W",
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"EnumerationDate": "05/01/2014",
"LastUpdateDate": "05/01/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VELASQUEZ",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}