{
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"LastName": null,
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"FirstLineMailingAddress": "URB. VILLAS DE PARANA",
"SecondLineMailingAddress": "S1-2 CALLE 11",
"MailingAddressCityName": "SAN JUAN",
"MailingAddressStateName": "PR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-692-2449",
"MailingAddressFaxNumber": "787-287-7800",
"FirstLinePracticeLocationAddress": "LOCAL 1, AVE. SANCHEZ OSORIO",
"SecondLinePracticeLocationAddress": "CENTRO COMERCIAL VILLA FONTANA",
"PracticeLocationAddressCityName": "CAROLINA",
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"PracticeLocationAddressTelephoneNumber": "787-257-1444",
"PracticeLocationAddressFaxNumber": "787-257-1772",
"EnumerationDate": "11/29/2010",
"LastUpdateDate": "05/16/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REYNOSO CABRERA",
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"AuthorizedOfficialTelephoneNumber": "787-692-2449",
"Taxonomies": {
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{
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},
{
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}
]
},
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}
}