{
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"FirstLineMailingAddress": "PO BOX 1011",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33480-1011",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-840-7578",
"MailingAddressFaxNumber": "561-845-1717",
"FirstLinePracticeLocationAddress": "2151 45TH ST",
"SecondLinePracticeLocationAddress": "SUITE 110",
"PracticeLocationAddressCityName": "WEST PALM BEACH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-840-7578",
"PracticeLocationAddressFaxNumber": "561-863-0590",
"EnumerationDate": "02/19/2008",
"LastUpdateDate": "02/20/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GERSTEIN",
"AuthorizedOfficialFirstName": "JOANN",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialTelephoneNumber": "561-845-1717",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}