{
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"FirstLineMailingAddress": "3750 W 16TH AVE STE 244U",
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"MailingAddressCityName": "HIALEAH",
"MailingAddressStateName": "FL",
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"FirstLinePracticeLocationAddress": "3750 W 16TH AVE STE 244U",
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"PracticeLocationAddressCityName": "HIALEAH",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressTelephoneNumber": "786-271-6614",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/09/2014",
"LastUpdateDate": "01/09/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAMOS",
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"AuthorizedOfficialTelephoneNumber": "786-271-6614",
"Taxonomies": {
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"TaxonomyName": "Health Service Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}