{
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"FirstLineMailingAddress": "4355 W 16TH AVE STE 201",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIALEAH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33012-7667",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "786-360-4783",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4355 W 16TH AVE STE 201",
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"PracticeLocationAddressCityName": "HIALEAH",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/31/2019",
"LastUpdateDate": "05/31/2019",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEREIRA VIGIL",
"AuthorizedOfficialFirstName": "ADRIAN",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialTelephoneNumber": "786-857-4952",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Health Service Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}