{
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"FirstLineMailingAddress": "PO BOX 140328",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00614-0328",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CARR 493 KM 1.2",
"SecondLinePracticeLocationAddress": "BO. CARRIZALES",
"PracticeLocationAddressCityName": "HATILLO",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/22/2020",
"LastUpdateDate": "04/12/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARRETO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-597-8416",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}