{
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"FirstLinePracticeLocationAddress": "2450 TAMIAMI TRL STE A",
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"PracticeLocationAddressCityName": "PORT CHARLOTTE",
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"PracticeLocationAddressTelephoneNumber": "941-624-2704",
"PracticeLocationAddressFaxNumber": "941-627-6066",
"EnumerationDate": "03/14/2007",
"LastUpdateDate": "02/19/2025",
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"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Family Nurse Practitioner",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}