{
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"FirstLineMailingAddress": "301 174TH STREET",
"SecondLineMailingAddress": "SUITE 1714",
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"MailingAddressFaxNumber": "305-455-9676",
"FirstLinePracticeLocationAddress": "2500 E HALLANDALE BEACH BLVD",
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"PracticeLocationAddressFaxNumber": "305-455-9676",
"EnumerationDate": "09/09/2014",
"LastUpdateDate": "10/06/2014",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ROZENBLAT",
"AuthorizedOfficialFirstName": "GENRIYETTA",
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"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "305-318-5696",
"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}