{
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"FirstLineMailingAddress": "2605 W ATLANTIC AVE",
"SecondLineMailingAddress": "A202",
"MailingAddressCityName": "DELRAY BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33445-4413",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-243-7979",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2605 W ATLANTIC AVE",
"SecondLinePracticeLocationAddress": "A202",
"PracticeLocationAddressCityName": "DELRAY BEACH",
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"PracticeLocationAddressTelephoneNumber": "561-243-7979",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/24/2016",
"LastUpdateDate": "10/24/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BROWN",
"AuthorizedOfficialFirstName": "CINDY",
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"AuthorizedOfficialTitle": "FINANCE MANAGER",
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"AuthorizedOfficialTelephoneNumber": "561-243-7979",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": "20157096",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}