{
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"OrgName": "JOSEPH E GILLESPIE INC",
"LastName": null,
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"FirstLineMailingAddress": "5030 CHAMPION BLVD",
"SecondLineMailingAddress": "SUITE G11-279",
"MailingAddressCityName": "BOCA RATON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33496-2473",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-715-8958",
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"FirstLinePracticeLocationAddress": "5400 CHAMPION BLVD",
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"PracticeLocationAddressCityName": "BOCA RATON",
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"PracticeLocationAddressTelephoneNumber": "561-912-1014",
"PracticeLocationAddressFaxNumber": "561-955-1222",
"EnumerationDate": "06/25/2006",
"LastUpdateDate": "07/30/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GILLESPIE",
"AuthorizedOfficialFirstName": "JOANNE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
"AuthorizedOfficialNamePrefix": "MRS.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "770-965-1079",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "PT19896",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}