{
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"IsOrgSubpart": "N",
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"OrgName": "MIAMI GARDENS HEALTH CLINIC, LLC",
"LastName": null,
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"FirstLineMailingAddress": "13196 SW 50TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIRAMAR",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33027-5527",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-333-3872",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "13196 SW 50TH ST",
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"PracticeLocationAddressCityName": "MIRAMAR",
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"EnumerationDate": "08/14/2012",
"LastUpdateDate": "09/04/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARKS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "1952242",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}