{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ROBERT C SANFORD ARNP PL",
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"FirstLineMailingAddress": "303 75TH STREET CT NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRADENTON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34209-7221",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-518-5219",
"MailingAddressFaxNumber": "941-795-0748",
"FirstLinePracticeLocationAddress": "303 75TH STREET CT NW",
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"PracticeLocationAddressCityName": "BRADENTON",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "941-795-0748",
"EnumerationDate": "07/03/2008",
"LastUpdateDate": "09/07/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANFORD",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "C.",
"AuthorizedOfficialTitle": "OWNER/MANAGER",
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"AuthorizedOfficialCredential": "ARNP",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "9202171",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}