{
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"OrgName": "MONTES DE OCA CORP",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "130 CYPRESS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST PALM BEACH",
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"MailingAddressPostalCode": "33415-2404",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-762-1615",
"MailingAddressFaxNumber": "561-855-2398",
"FirstLinePracticeLocationAddress": "130 CYPRESS AVE",
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"PracticeLocationAddressCityName": "WEST PALM BEACH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-762-1615",
"PracticeLocationAddressFaxNumber": "561-855-2398",
"EnumerationDate": "05/17/2018",
"LastUpdateDate": "05/17/2018",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MONTES DE OCA",
"AuthorizedOfficialFirstName": "SERGIO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "786-769-1716",
"Taxonomies": {
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"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": "VH4559",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}