{
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"OrgName": "HEART SONG SPEECH AND LANGUAGE SERVICES LLC",
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"FirstLineMailingAddress": "2746 CREEKS EDGE LN",
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"MailingAddressCityName": "NAVARRE",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "8402 LITTLE JOHN JCT",
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"PracticeLocationAddressCityName": "NAVARRE",
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"EnumerationDate": "01/14/2018",
"LastUpdateDate": "01/14/2018",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ELLIS",
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"AuthorizedOfficialCredential": "M.C.D., CCC-SLP",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0700X",
"TaxonomyName": "Hearing and Speech Clinic/Center",
"LicenseNumber": "12125",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}