{
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"FirstLineMailingAddress": "PO BOX 270183",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN JUAN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-390-3636",
"MailingAddressFaxNumber": "787-390-3636",
"FirstLinePracticeLocationAddress": "E17 CALLE TEODORO MEDINA",
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"EnumerationDate": "02/24/2012",
"LastUpdateDate": "02/24/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VELEZ-ARTEAGA",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}