{
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"FirstLineMailingAddress": "3302 MEADOWSIDE DR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-918-6627",
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"FirstLinePracticeLocationAddress": "2323 CLEAR LAKE CITY BLVD STE 140",
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"EnumerationDate": "11/29/2022",
"LastUpdateDate": "11/29/2022",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIEL",
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"Taxonomies": {
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"TaxonomyName": "Dental Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}