{
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"EIN": null,
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"FirstLineMailingAddress": "9182 NW 148TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIAMI LAKES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33018-7314",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "8591 NW SOUTH RIVER DR",
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"PracticeLocationAddressCityName": "MEDLEY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-456-3000",
"PracticeLocationAddressFaxNumber": "305-631-2180",
"EnumerationDate": "08/23/2024",
"LastUpdateDate": "08/23/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251B00000X",
"TaxonomyName": "Case Management Agency",
"LicenseNumber": "CBHCM.0106811-P",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}