{
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"FirstLineMailingAddress": "1400 US HWY 441",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "352-350-2136",
"MailingAddressFaxNumber": "352-350-2137",
"FirstLinePracticeLocationAddress": "1400 N US HIGHWAY 441",
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"EnumerationDate": "08/04/2008",
"LastUpdateDate": "04/27/2009",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AMIN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "727-251-1366",
"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": "ME67237",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}