{
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"Credential": "NP",
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"OtherLastName": "PEREIRA",
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"OtherCredential": "ARNP",
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"FirstLineMailingAddress": "6255 W SUNSET BLVD FL 21",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90028-7422",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-860-5200",
"MailingAddressFaxNumber": "323-467-7119",
"FirstLinePracticeLocationAddress": "1701 N MILLS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ORLANDO",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-204-7000",
"PracticeLocationAddressFaxNumber": "407-204-7001",
"EnumerationDate": "06/19/2015",
"LastUpdateDate": "05/07/2024",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "ARNP9367959",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}