{
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"FirstLineMailingAddress": "PO BOX 7961",
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"MailingAddressTelephoneNumber": "863-402-0048",
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"FirstLinePracticeLocationAddress": "4141 US HIGHWAY 27 N",
"SecondLinePracticeLocationAddress": "SUITE #15",
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"EnumerationDate": "12/27/2010",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "COOK",
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"AuthorizedOfficialTelephoneNumber": "863-243-9524",
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"TaxonomyName": "Developmentally Disabled Services Day Training Agency",
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}
},
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}
}