{
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"FirstLineMailingAddress": "535 CALLE JUAN RODRIGUEZ",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00624-1804",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-585-3324",
"MailingAddressFaxNumber": "787-836-1325",
"FirstLinePracticeLocationAddress": "CDT PENUELAS",
"SecondLinePracticeLocationAddress": "CARR 385 KM 0.5",
"PracticeLocationAddressCityName": "PENUELAS",
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"PracticeLocationAddressFaxNumber": "787-836-1325",
"EnumerationDate": "04/23/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VEGA",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "939-630-2987",
"Taxonomies": {
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"TaxonomyName": "Land Ambulance",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}