{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ASIAN THERAPIES LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4235 CENTRAL AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ST PETERSBURG",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33713-8230",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-744-4925",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4235 CENTRAL AVE",
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"PracticeLocationAddressCityName": "ST PETERSBURG",
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"PracticeLocationAddressTelephoneNumber": "727-744-4925",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/15/2011",
"LastUpdateDate": "12/15/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROOFENER",
"AuthorizedOfficialFirstName": "GALINA",
"AuthorizedOfficialMiddleName": "V",
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"AuthorizedOfficialCredential": "L. AC.",
"AuthorizedOfficialTelephoneNumber": "727-744-4925",
"Taxonomies": {
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"TaxonomyName": "Clinic/Center",
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"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}