{
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    "authorized_official_first_name": "JONATHAN",
    "authorized_official_last_name": "ROLLINS",
    "authorized_official_telephone_number": "8502708341",
    "authorized_official_title_or_position": "Managing Member",
    "certification_date": "2025-10-19",
    "enumeration_date": "2022-01-03",
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      "address_1": "PO BOX 832",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LYNN HAVEN",
      "country_code": "US",
      "country_name": "United States",
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      "state": "FL",
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    },
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      "address_1": "12135 PANAMA CITY BEACH PKWY",
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      "excluded": false,
      "status": "CLEAR",
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    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
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  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
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}