{
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  "enumeration_type": "NPI-2",
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    "authorized_official_first_name": "SANRAE",
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    "authorized_official_middle_name": "J",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
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    "authorized_official_title_or_position": "PRESIDENT",
    "certification_date": "2024-05-20",
    "enumeration_date": "2012-11-15",
    "last_updated": "2024-05-20",
    "organization_name": "AVON MEDICLINIC,LLC",
    "organizational_subpart": "NO",
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      "address_1": "1260 ABBE RD N",
      "address_purpose": "LOCATION",
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    {
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      "country_code": "US",
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    }
  ],
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      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    },
    {
      "code": "261QU0200X",
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      "primary": false,
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      "taxonomy_group": ""
    }
  ],
  "compliance": {
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      "status": "CLEAR",
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    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "cms_medicare_crosswalk": [
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        "medicare_code": "08",
        "medicare_type": "Physician/Family Practice"
      }
    ]
  }
}