{
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"EIN": null,
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "8720 SCENIC HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PENSACOLA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32514-8265",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "334-488-4711",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6108 VILLAGE OAKS DR STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PENSACOLA",
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"PracticeLocationAddressTelephoneNumber": "334-488-4711",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/09/2022",
"LastUpdateDate": "02/09/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARMSTEAD",
"AuthorizedOfficialFirstName": "KELLY",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSOT/L",
"AuthorizedOfficialTelephoneNumber": "334-488-4711",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}