{
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"FirstLineMailingAddress": "6422 COLLINS AVE APT 503",
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"FirstLinePracticeLocationAddress": "4800 W HILLSBORO BLVD STE A12",
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"PracticeLocationAddressCityName": "COCONUT CREEK",
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"EnumerationDate": "06/06/2026",
"LastUpdateDate": "06/06/2026",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SAYMAN",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}