{
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"FirstLineMailingAddress": "509 CALVARY DR",
"SecondLineMailingAddress": null,
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"MailingAddressPostalCode": "76040-4955",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "469-688-3425",
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"FirstLinePracticeLocationAddress": "606 S SEVEN POINTS DR STE 5",
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"EnumerationDate": "03/18/2021",
"LastUpdateDate": "03/18/2021",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NEUPANE",
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"AuthorizedOfficialCredential": "REGISTERED PHTECH",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}