{
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"NamePrefix": null,
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"FirstLineMailingAddress": "2107 S US HIGHWAY 1",
"SecondLineMailingAddress": null,
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"MailingAddressPostalCode": "33477-7321",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "866-758-1957",
"MailingAddressFaxNumber": "866-766-4183",
"FirstLinePracticeLocationAddress": "2107 S US HIGHWAY 1",
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"PracticeLocationAddressTelephoneNumber": "866-758-1957",
"PracticeLocationAddressFaxNumber": "866-766-4183",
"EnumerationDate": "09/22/2016",
"LastUpdateDate": "08/18/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BADWAY",
"AuthorizedOfficialFirstName": "MELVILLE",
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"AuthorizedOfficialCredential": "RPH",
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"Taxonomies": {
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}