{
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"IsOrgSubpart": "N",
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"OrgName": "REJUVENATE MED SPA",
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"FirstLineMailingAddress": "1111 BRICKELL AVE FL 11",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIAMI",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33131-3122",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1111 BRICKELL AVE FL 11",
"SecondLinePracticeLocationAddress": null,
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-925-8100",
"PracticeLocationAddressFaxNumber": "954-827-3913",
"EnumerationDate": "12/13/2010",
"LastUpdateDate": "12/13/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MIRANDA",
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"AuthorizedOfficialTelephoneNumber": "954-925-8100",
"Taxonomies": {
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"TaxonomyName": "Primary Care Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}