{
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"FirstLineMailingAddress": "420 NW 74TH AVE",
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"MailingAddressCityName": "PLANTATION",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-583-1514",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "420 NW 74TH AVE",
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"PracticeLocationAddressCityName": "PLANTATION",
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"EnumerationDate": "12/04/2023",
"LastUpdateDate": "12/04/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARENCIBIA",
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"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "305-582-8718",
"Taxonomies": {
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"TaxonomyName": "Dental Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}