{
"Npi": {
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"EIN": null,
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"FirstLineMailingAddress": "3165 MCCRORY PL",
"SecondLineMailingAddress": "STE 174",
"MailingAddressCityName": "ORLANDO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32803-3727",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-423-1234",
"MailingAddressFaxNumber": "407-517-1040",
"FirstLinePracticeLocationAddress": "1381 CITRUS TOWER BLVD",
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"PracticeLocationAddressCityName": "CLERMONT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-243-7066",
"PracticeLocationAddressFaxNumber": "352-243-7068",
"EnumerationDate": "02/15/2006",
"LastUpdateDate": "09/18/2020",
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"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "PO 2917",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}