{
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"OrgName": "SECURE TRANSPORTATION",
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "3341 TOWERWOOD DRIVE",
"SecondLineMailingAddress": "SUITE 204",
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75234",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "469-567-1800",
"MailingAddressFaxNumber": "972-241-5177",
"FirstLinePracticeLocationAddress": "3341 TOWERWOOD DRIVE",
"SecondLinePracticeLocationAddress": "SUITE 204",
"PracticeLocationAddressCityName": "DALLAS",
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"PracticeLocationAddressTelephoneNumber": "469-567-1800",
"PracticeLocationAddressFaxNumber": "972-241-5177",
"EnumerationDate": "05/17/2007",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEACOCK",
"AuthorizedOfficialFirstName": "CHRIS",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "469-567-1800",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}