{
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"FirstLineMailingAddress": "6848 PALMETTO CIRCLE",
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"FirstLinePracticeLocationAddress": "301 YAMATO RD",
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"EnumerationDate": "10/18/2012",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FIELDS",
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"AuthorizedOfficialTelephoneNumber": "561-955-0294",
"Taxonomies": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}