{
"Npi": {
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"EIN": null,
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"FirstLineMailingAddress": "8205 HALL LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ST AUGUSTINE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32092-2314",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-940-6976",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11701 SAN JOSE BLVD",
"SecondLinePracticeLocationAddress": "SUITE 210",
"PracticeLocationAddressCityName": "JACKSONVILLE",
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"PracticeLocationAddressPostalCode": "32223-0756",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-858-7450",
"PracticeLocationAddressFaxNumber": "904-858-7451",
"EnumerationDate": "05/29/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "OT12512",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}