{
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"FirstLineMailingAddress": "15327 NW 60TH AVE STE 240",
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"MailingAddressStateName": "FL",
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"FirstLinePracticeLocationAddress": "15327 NW 60TH AVE STE 240",
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"PracticeLocationAddressTelephoneNumber": "305-646-1285",
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"EnumerationDate": "10/14/2019",
"LastUpdateDate": "10/14/2019",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HERZBERG",
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"AuthorizedOfficialTelephoneNumber": "786-484-3179",
"Taxonomies": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}