{
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"FirstLineMailingAddress": "10002 FRIERSON LAKE DR",
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"MailingAddressCityName": "HUDSON",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-857-3501",
"MailingAddressFaxNumber": "727-239-4576",
"FirstLinePracticeLocationAddress": "10002 FRIERSON LAKE DR",
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"EnumerationDate": "10/14/2010",
"LastUpdateDate": "10/14/2010",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEFA",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "727-857-3501",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Hearing Instrument Specialist",
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"LicenseNumberStateCode": null,
"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."
}
}
}
}