{
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"EIN": null,
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "7040 W PALMETTO PARK RD",
"SecondLineMailingAddress": "#4-575",
"MailingAddressCityName": "BOCA RATON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33433-3407",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-361-9604",
"MailingAddressFaxNumber": "561-394-5186",
"FirstLinePracticeLocationAddress": "7025 BERACASA WAY",
"SecondLinePracticeLocationAddress": "SUITE 102B",
"PracticeLocationAddressCityName": "BOCA RATON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-361-9604",
"PracticeLocationAddressFaxNumber": "561-394-5186",
"EnumerationDate": "07/11/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARBEITMAN",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "1065190001",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}