{
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"FirstLineMailingAddress": "400 8TH ST N",
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"MailingAddressCityName": "NAPLES",
"MailingAddressStateName": "FL",
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"FirstLinePracticeLocationAddress": "400 8TH ST N",
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"EnumerationDate": "03/25/2008",
"LastUpdateDate": "03/25/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ESTES",
"AuthorizedOfficialFirstName": "RICHARD",
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"AuthorizedOfficialTitle": "ADMINISTRATOR",
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"AuthorizedOfficialTelephoneNumber": "239-649-3351",
"Taxonomies": {
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"LicenseNumber": "AY1024",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}