{
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  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "D.C.",
    "authorized_official_first_name": "AMANPREET",
    "authorized_official_last_name": "BHATHAL",
    "authorized_official_middle_name": "SINGH",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7274085222",
    "authorized_official_title_or_position": "Managing Member",
    "certification_date": "2024-08-08",
    "enumeration_date": "2013-04-05",
    "last_updated": "2024-08-08",
    "organization_name": "ADVANCED MEDICAL OF FLORIDA LLC",
    "organizational_subpart": "NO",
    "status": "A"
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    {
      "address_1": "1528 LAKEVIEW RD STE 150",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
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      "country_code": "US",
      "country_name": "United States",
      "fax_number": "724-408-5252",
      "postal_code": "337563694",
      "state": "FL",
      "telephone_number": "727-408-5222"
    },
    {
      "address_1": "1528 LAKEVIEW RD STE 150",
      "address_purpose": "MAILING",
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      "country_code": "US",
      "country_name": "United States",
      "fax_number": "727-408-5252",
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      "code": "111N00000X",
      "desc": "Chiropractor",
      "license": "CH10839",
      "primary": false,
      "state": "FL",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2081P2900X",
      "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
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      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208VP0014X",
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      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "225100000X",
      "desc": "Physical Therapist",
      "license": "PT30139",
      "primary": false,
      "state": "FL",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "09",
        "medicare_type": "Physician/Interventional Pain Management"
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}