{
"Npi": {
"NPI": "1760624365",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "EGRET POND, LLC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "1760 SE SALERNO RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STUART",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34997-6442",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "772-288-1288",
"MailingAddressFaxNumber": "772-219-8458",
"FirstLinePracticeLocationAddress": "1760 SE SALERNO RD",
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"PracticeLocationAddressCityName": "STUART",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "772-288-1288",
"PracticeLocationAddressFaxNumber": "772-219-8458",
"EnumerationDate": "03/27/2009",
"LastUpdateDate": "03/27/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DELUCA",
"AuthorizedOfficialFirstName": "ROBERT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "772-288-1288",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "CE9977335",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}