{
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"OrgName": "THERAPY IN MOTION PA",
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"FirstLineMailingAddress": "3350 SW 148TH AVE STE 110",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIRAMAR",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33027-3237",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "754-256-4705",
"MailingAddressFaxNumber": "754-816-5514",
"FirstLinePracticeLocationAddress": "3000 NE 151ST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH MIAMI",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "754-256-4705",
"PracticeLocationAddressFaxNumber": "754-816-5514",
"EnumerationDate": "03/07/2019",
"LastUpdateDate": "05/10/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BENEBY",
"AuthorizedOfficialFirstName": "LAFONDA",
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"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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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."
}
}
}
}