{
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"OrgName": "TOWN OF PALM BEACH",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "360 S COUNTY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33480-6735",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-838-5420",
"MailingAddressFaxNumber": "561-838-5408",
"FirstLinePracticeLocationAddress": "300 N COUNTY RD",
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"PracticeLocationAddressCityName": "PALM BEACH",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-838-5420",
"PracticeLocationAddressFaxNumber": "561-838-5408",
"EnumerationDate": "01/25/2007",
"LastUpdateDate": "07/16/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLOUIN",
"AuthorizedOfficialFirstName": "KIRK",
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"AuthorizedOfficialTitle": "DIRECTOR OF PUBLIC SAFETY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "561-838-5420",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": "3946",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}