{
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"NamePrefix": null,
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"FirstLineMailingAddress": "135 N KNOWLES AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINTER PARK",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32789-3851",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-234-6454",
"MailingAddressFaxNumber": "407-629-2924",
"FirstLinePracticeLocationAddress": "135 N KNOWLES AVE",
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"PracticeLocationAddressCityName": "WINTER PARK",
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"PracticeLocationAddressTelephoneNumber": "407-234-6454",
"PracticeLocationAddressFaxNumber": "407-629-2924",
"EnumerationDate": "08/06/2008",
"LastUpdateDate": "08/06/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PRIETO",
"AuthorizedOfficialFirstName": "CHRISTINA",
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"AuthorizedOfficialTelephoneNumber": "407-234-6454",
"Taxonomies": {
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"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": "AP2139",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}