{
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"FirstLineMailingAddress": "620 N COUNTRY CLUB RD",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "620 N COUNTRY CLUB RD",
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"EnumerationDate": "11/25/2015",
"LastUpdateDate": "11/25/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "QUIONES",
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"Taxonomies": {
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}
},
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}
}