{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ON2FEET, L.L.C.",
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"FirstLineMailingAddress": "PO BOX 470118",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE MONROE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32747-0118",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1319 S INTERNATIONAL PKWY",
"SecondLinePracticeLocationAddress": "SUITE 1161",
"PracticeLocationAddressCityName": "LAKE MARY",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressTelephoneNumber": "407-391-3344",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/29/2013",
"LastUpdateDate": "05/03/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MENNUTI",
"AuthorizedOfficialFirstName": "JEFFERSON",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "MGR",
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"AuthorizedOfficialCredential": "D.P.M.",
"AuthorizedOfficialTelephoneNumber": "407-391-3344",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213E00000X",
"TaxonomyName": "Podiatrist",
"LicenseNumber": "PO3428",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}