{
"Npi": {
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"EIN": null,
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"OtherCredential": "N/A",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3941 13TH AVE S",
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"MailingAddressCityName": "ST PETERSBURG",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33711-2527",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-723-4475",
"MailingAddressFaxNumber": "727-723-4475",
"FirstLinePracticeLocationAddress": "3941 13TH AVE S",
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"PracticeLocationAddressCityName": "ST PETERSBURG",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-723-4475",
"PracticeLocationAddressFaxNumber": "727-723-4475",
"EnumerationDate": "07/27/2012",
"LastUpdateDate": "07/27/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "232754",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}