{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "PREFERRED THERAPY SERVICES CORP",
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"NamePrefix": null,
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"FirstLineMailingAddress": "2140 W 68TH ST",
"SecondLineMailingAddress": "STE 101",
"MailingAddressCityName": "HIALEAH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33016-1815",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-822-8815",
"MailingAddressFaxNumber": "305-822-8873",
"FirstLinePracticeLocationAddress": "2140 W 68TH ST",
"SecondLinePracticeLocationAddress": "STE 101",
"PracticeLocationAddressCityName": "HIALEAH",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-822-8815",
"PracticeLocationAddressFaxNumber": "305-822-8873",
"EnumerationDate": "02/02/2007",
"LastUpdateDate": "08/25/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLANCO",
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"AuthorizedOfficialTitle": "DIRECTOR",
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"AuthorizedOfficialCredential": "PTA",
"AuthorizedOfficialTelephoneNumber": "305-822-8815",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "NA",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}