{
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"FirstLineMailingAddress": "2804 MARC KNIGHTON CT",
"SecondLineMailingAddress": "BIN 14",
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"MailingAddressTelephoneNumber": "352-249-9258",
"MailingAddressFaxNumber": "352-527-3013",
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"EnumerationDate": "10/02/2006",
"LastUpdateDate": "03/07/2023",
"NPIDeactivationReasonCode": null,
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"GenderCode": null,
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"AuthorizedOfficialLastName": "GOODMAN",
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"Taxonomies": {
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{
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},
{
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}
]
},
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}
}