{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "FARMACIA PINA",
"LastName": null,
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"Credential": null,
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"FirstLineMailingAddress": "URB PRADERAS DEL RIO 3001",
"SecondLineMailingAddress": "CALLE RIO BUCANA",
"MailingAddressCityName": "TOA ALTA",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00953",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-279-0731",
"MailingAddressFaxNumber": "787-279-7050",
"FirstLinePracticeLocationAddress": "CARR 861 # KM 5/8",
"SecondLinePracticeLocationAddress": "BO. MUCARABONES",
"PracticeLocationAddressCityName": "TOA ALTA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-279-0731",
"PracticeLocationAddressFaxNumber": "787-279-7050",
"EnumerationDate": "03/23/2007",
"LastUpdateDate": "03/27/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSADO",
"AuthorizedOfficialFirstName": "JOSE",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-399-9269",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}