{
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"FirstLineMailingAddress": "9800 W SAMPLE RD",
"SecondLineMailingAddress": "SUITE C",
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"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33065",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-344-8598",
"MailingAddressFaxNumber": "954-344-8142",
"FirstLinePracticeLocationAddress": "7421 N UNIVERSITY DR",
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"PracticeLocationAddressFaxNumber": "954-726-7862",
"EnumerationDate": "07/07/2006",
"LastUpdateDate": "09/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "01/05/2007",
"NPIReactivationDate": "08/21/2007",
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOLTON",
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"AuthorizedOfficialTelephoneNumber": "954-344-8700",
"Taxonomies": {
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"TaxonomyName": "Cardiovascular Disease Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}