{
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"FirstLineMailingAddress": "645 E LEMON AVE",
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"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "7450 CYPRESS GARDENS BLVD",
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"PracticeLocationAddressCityName": "WINTER HAVEN",
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"PracticeLocationAddressTelephoneNumber": "863-318-9966",
"PracticeLocationAddressFaxNumber": "863-318-0348",
"EnumerationDate": "02/13/2007",
"LastUpdateDate": "12/17/2013",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}