{
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"FirstLineMailingAddress": "PO BOX 25247",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN JUAN",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00928-5247",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-722-3600",
"MailingAddressFaxNumber": "787-722-6555",
"FirstLinePracticeLocationAddress": "615 AVE. MANUEL PAVIA",
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"PracticeLocationAddressCityName": "SAN JUAN",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/13/2019",
"LastUpdateDate": "09/13/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BETANCOURT",
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"AuthorizedOfficialCredential": "RHP",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}