{
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"FirstLineMailingAddress": "6536 N. UNIVERSITY DR.",
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"PracticeLocationAddressFaxNumber": "954-532-5375",
"EnumerationDate": "09/20/2019",
"LastUpdateDate": "05/21/2021",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOANG",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
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{
"TaxonomyCode": "261QD0000X",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}