{
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"FirstLineMailingAddress": "10620 NW 19 ST",
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"MailingAddressFaxNumber": "786-331-7455",
"FirstLinePracticeLocationAddress": "10620 NW 19 ST",
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"PracticeLocationAddressFaxNumber": "786-331-7455",
"EnumerationDate": "07/31/2006",
"LastUpdateDate": "11/19/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLON",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "786-331-7055",
"Taxonomies": {
"Taxonomy": [
{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}