{
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"OrgName": "DIGESTIVE DISEASES SERVICES OF SOUTH FLORIDA P A",
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"FirstLineMailingAddress": "5501 W 79TH ST",
"SecondLineMailingAddress": "SUITE 400",
"MailingAddressCityName": "BURBANK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60459-1784",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-884-4523",
"MailingAddressFaxNumber": "773-884-4580",
"FirstLinePracticeLocationAddress": "777 E 25TH ST",
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"PracticeLocationAddressCityName": "HIALEAH",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressTelephoneNumber": "786-493-1551",
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"EnumerationDate": "10/10/2007",
"LastUpdateDate": "10/21/2014",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "NASIFF",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Gastroenterology Physician",
"LicenseNumber": "ME57104",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}