{
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"FirstLineMailingAddress": "301 HEALTH PARK BLVD STE 101",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "904-819-4472",
"FirstLinePracticeLocationAddress": "3901 UNIVERSITY BLVD S STE 221",
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"PracticeLocationAddressCityName": "JACKSONVILLE",
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"PracticeLocationAddressTelephoneNumber": "904-423-0010",
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"EnumerationDate": "11/02/2017",
"LastUpdateDate": "07/21/2022",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "BARRETT",
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"AuthorizedOfficialTelephoneNumber": "904-819-4400",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Cardiovascular Disease Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}