{
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"FirstLineMailingAddress": "1201 5TH AVENUE N",
"SecondLineMailingAddress": "STE 409",
"MailingAddressCityName": "ST. PETERSBURG",
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"FirstLinePracticeLocationAddress": "1201 5TH AVENUE N",
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"EnumerationDate": "08/25/2006",
"LastUpdateDate": "11/14/2008",
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"AuthorizedOfficialLastName": "CLEMENTE",
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}
},
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}
}
}
}