{
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"OrgName": "DEWHURST MEDICAL SERVICES INC",
"LastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1127 MERIDIAN AVE",
"SecondLineMailingAddress": "# 7",
"MailingAddressCityName": "MIAMI BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33139-4545",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-538-8399",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11750 SW 40TH ST",
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"PracticeLocationAddressCityName": "MIAMI",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33175-3530",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-223-3000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/30/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEWHURST",
"AuthorizedOfficialFirstName": "TYLER",
"AuthorizedOfficialMiddleName": "T",
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"AuthorizedOfficialCredential": "ARNP",
"AuthorizedOfficialTelephoneNumber": "305-538-8399",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "ARNP 3124292",
"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."
}
}
}
}