{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ACUPUNCTURE INTEGRATIVE WELLNESS CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1991 BENTWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINTER PARK",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32792-6029",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-591-6486",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "103 W OAK ST",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "KISSIMMEE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34741-4401",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-591-6486",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/21/2011",
"LastUpdateDate": "03/21/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSARIO",
"AuthorizedOfficialFirstName": "SYLVIA",
"AuthorizedOfficialMiddleName": "I",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
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"AuthorizedOfficialCredential": "A.P., D.O.M.",
"AuthorizedOfficialTelephoneNumber": "407-591-6486",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "AP 2958",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}