{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "GRUPO MEDICO DE RIO HONDO Y LEVITTOWN, PSC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "AVE BOULEVARD 2692 2DA SECCION",
"SecondLineMailingAddress": "LEVITTOWN",
"MailingAddressCityName": "TOA BAJA",
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"MailingAddressPostalCode": "00949",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-261-8181",
"MailingAddressFaxNumber": "787-261-8282",
"FirstLinePracticeLocationAddress": "AVE BOULEVARD 2692 2DA SECCION",
"SecondLinePracticeLocationAddress": "LEVITTOWN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-261-8181",
"PracticeLocationAddressFaxNumber": "787-261-8282",
"EnumerationDate": "12/28/2009",
"LastUpdateDate": "12/28/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZARRUK",
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"AuthorizedOfficialTitle": "DOCTOR",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "787-784-5899",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": "8996",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}