{
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"FirstLineMailingAddress": "1144 NW 12TH TER",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2336 SE OCEAN BLVD # 140",
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"PracticeLocationAddressFaxNumber": "888-972-5313",
"EnumerationDate": "12/02/2016",
"LastUpdateDate": "10/19/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARMICHAEL",
"AuthorizedOfficialFirstName": "VIRGINIA",
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"AuthorizedOfficialTelephoneNumber": "772-405-8826",
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}