{
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"FirstLineMailingAddress": "18400 NW 75TH PL",
"SecondLineMailingAddress": "SUITE 106",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "305-825-9999",
"FirstLinePracticeLocationAddress": "18400 NW 75TH PL",
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"PracticeLocationAddressFaxNumber": "305-825-9999",
"EnumerationDate": "04/03/2007",
"LastUpdateDate": "12/14/2016",
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
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"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "ME 102936",
"LicenseNumberStateCode": "FL",
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}
},
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}
}