{
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"FirstLineMailingAddress": "1209 GINGER CIR",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2500 E HALLANDALE BEACH BLVD",
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"EnumerationDate": "12/01/2010",
"LastUpdateDate": "02/10/2011",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "VALDIVIESO",
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"Taxonomies": {
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}
},
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}
}
}
}