{
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"FirstLineMailingAddress": "1275 W GRANADA BLVD STE 6A",
"SecondLineMailingAddress": "1275 W GRANADA BLVD STE 6A",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-281-7372",
"MailingAddressFaxNumber": "386-281-7372",
"FirstLinePracticeLocationAddress": "1275 W GRANADA BLVD STE 6A",
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"PracticeLocationAddressCityName": "ORMOND BEACH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-281-7372",
"PracticeLocationAddressFaxNumber": "888-261-3967",
"EnumerationDate": "07/17/2026",
"LastUpdateDate": "07/17/2026",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KABBES",
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"AuthorizedOfficialTitle": "MANAGING MANAGER",
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"AuthorizedOfficialCredential": "KABBES",
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"Taxonomies": {
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"TaxonomyName": "Home Health Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}