{
"Npi": {
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"EIN": null,
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"FirstName": "ROBERT",
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"FirstLineMailingAddress": "PO BOX 289",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FREEPORT",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32439-0289",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-835-4333",
"MailingAddressFaxNumber": "850-835-4311",
"FirstLinePracticeLocationAddress": "2734 E COUNTY HIGHWAY 30A",
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"PracticeLocationAddressCityName": "SANTA ROSA BEACH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-534-0173",
"PracticeLocationAddressFaxNumber": "850-534-3078",
"EnumerationDate": "05/03/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "ME41271",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}