{
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"FirstLineMailingAddress": "PO BOX 612222",
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"MailingAddressStateName": "TX",
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"FirstLinePracticeLocationAddress": "5241 COUNTY ROAD 73",
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"EnumerationDate": "08/30/2007",
"LastUpdateDate": "03/10/2025",
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"AuthorizedOfficialLastName": "SIMMONS",
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}
},
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}
}