{
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"FirstLineMailingAddress": "4407 KELLY RD",
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"MailingAddressCityName": "TAMPA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33615-5203",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-887-5560",
"MailingAddressFaxNumber": "813-885-7123",
"FirstLinePracticeLocationAddress": "4407 KELLY RD",
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"PracticeLocationAddressFaxNumber": "813-885-7123",
"EnumerationDate": "02/27/2012",
"LastUpdateDate": "02/27/2012",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "RODRIGUEZ",
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"AuthorizedOfficialCredential": "D.C.",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "CH0003444",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}