{
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"FirstLineMailingAddress": "PO BOX 1232",
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"MailingAddressCityName": "JUNCOS",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-852-5808",
"MailingAddressFaxNumber": "787-850-0440",
"FirstLinePracticeLocationAddress": "60 CALLE DOLORES CABRERA ALONSO E",
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"PracticeLocationAddressCityName": "HUMACAO",
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"PracticeLocationAddressTelephoneNumber": "787-852-5808",
"PracticeLocationAddressFaxNumber": "787-850-0440",
"EnumerationDate": "08/17/2022",
"LastUpdateDate": "08/17/2022",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLON",
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"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "787-852-5808",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}