{
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"FirstLineMailingAddress": "6101 BLUE LAGOON DR STE 200",
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"MailingAddressCityName": "MIAMI",
"MailingAddressStateName": "FL",
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"FirstLinePracticeLocationAddress": "66 PARK PLACE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COVINGTON",
"PracticeLocationAddressStateName": "LA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "985-875-5459",
"PracticeLocationAddressFaxNumber": "877-872-3840",
"EnumerationDate": "02/16/2017",
"LastUpdateDate": "03/21/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "AP09204",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}