{
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"EIN": null,
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "150 WILLOW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ORLANDO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32807-3222",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-282-0556",
"MailingAddressFaxNumber": "407-282-2231",
"FirstLinePracticeLocationAddress": "150 WILLOW DR",
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"PracticeLocationAddressCityName": "ORLANDO",
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"PracticeLocationAddressFaxNumber": "407-282-2231",
"EnumerationDate": "05/20/2008",
"LastUpdateDate": "05/20/2008",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATACSIL",
"AuthorizedOfficialFirstName": "PROSERFINO",
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"AuthorizedOfficialTelephoneNumber": "407-282-0556",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3104A0625X",
"TaxonomyName": "Assisted Living Facility (Mental Illness)",
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"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}