{
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"FirstLineMailingAddress": "2904 E GADSDEN ST",
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"MailingAddressCityName": "PENSACOLA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32503-6429",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "13 CENTER ST",
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"PracticeLocationAddressCityName": "GULF BREEZE",
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"EnumerationDate": "02/23/2014",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAKAS",
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"AuthorizedOfficialCredential": "MS, CCC-SLP",
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"Taxonomies": {
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"TaxonomyName": "Hearing and Speech Clinic/Center",
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}
},
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}
}