{
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"FirstLineMailingAddress": "12855 SW 136TH AVE STE 203",
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"FirstLinePracticeLocationAddress": "12855 SW 136TH AVE STE 203",
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"EnumerationDate": "06/01/2022",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "CASTILLO CARDOSO",
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"AuthorizedOfficialTelephoneNumber": "305-417-2476",
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{
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},
{
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}
]
},
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}
}
}
}