{
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"FirstLineMailingAddress": "9336 SOUTHERN BREEZE DR",
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"MailingAddressCityName": "ORLANDO",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "4250 TOWN CENTER BLVD",
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"PracticeLocationAddressCityName": "ORLANDO",
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"EnumerationDate": "02/23/2013",
"LastUpdateDate": "02/23/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "BATTA",
"AuthorizedOfficialFirstName": "MANMOHAN",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "BDS,MDS,MS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dentist",
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"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}