{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "108 NE 1ST AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HALLANDALE BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33009-4204",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-457-7447",
"MailingAddressFaxNumber": "954-457-7116",
"FirstLinePracticeLocationAddress": "108 NE 1ST AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HALLANDALE BEACH",
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"PracticeLocationAddressTelephoneNumber": "954-457-7447",
"PracticeLocationAddressFaxNumber": "954-457-7116",
"EnumerationDate": "10/15/2008",
"LastUpdateDate": "10/15/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSENBERG",
"AuthorizedOfficialFirstName": "JANE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "954-457-7447",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}