{
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"FirstLineMailingAddress": "PO BOX 527",
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"FirstLinePracticeLocationAddress": "2101 NORTHSIDE DR",
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"PracticeLocationAddressFaxNumber": "850-784-1090",
"EnumerationDate": "03/31/2006",
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
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}
},
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}
}