{
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 781767",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN ANTONIO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78278-1767",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "210-415-2108",
"MailingAddressFaxNumber": "210-844-9940",
"FirstLinePracticeLocationAddress": "38 INWOOD MNR",
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"PracticeLocationAddressCityName": "SAN ANTONIO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "210-415-2108",
"PracticeLocationAddressFaxNumber": "210-844-9940",
"EnumerationDate": "03/11/2022",
"LastUpdateDate": "03/11/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARCIA",
"AuthorizedOfficialFirstName": "DAVID",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "210-481-9618",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282N00000X",
"TaxonomyName": "General Acute Care Hospital",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}