{
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"OrgName": "LIFE LONG LEARNING CENTER 2",
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"FirstLineMailingAddress": "406 SE FALLON DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORT SAINT LUCIE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34983-2635",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "772-237-2625",
"MailingAddressFaxNumber": "772-237-2624",
"FirstLinePracticeLocationAddress": "406 SE FALLON DR",
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"PracticeLocationAddressCityName": "PORT SAINT LUCIE",
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"PracticeLocationAddressTelephoneNumber": "772-237-2625",
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"EnumerationDate": "05/14/2012",
"LastUpdateDate": "05/14/2012",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "SWIHART",
"AuthorizedOfficialFirstName": "CHARLES",
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"AuthorizedOfficialTelephoneNumber": "772-237-2625",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Alzheimer Center (Dementia Center)",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}