{
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"FirstLineMailingAddress": "19387 US HIGHWAY 19 N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLEARWATER",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33764",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-431-8110",
"MailingAddressFaxNumber": "877-524-9504",
"FirstLinePracticeLocationAddress": "11163 GORDON SPEER CHAMBERS PKWY",
"SecondLinePracticeLocationAddress": "SUITE 400",
"PracticeLocationAddressCityName": "BAYTOWN",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressTelephoneNumber": "346-801-3120",
"PracticeLocationAddressFaxNumber": "866-261-1208",
"EnumerationDate": "07/10/2006",
"LastUpdateDate": "10/10/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARNHARD",
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"AuthorizedOfficialTelephoneNumber": "727-530-7700",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}