{
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"FirstLineMailingAddress": "5975 S COOPER ST STE 121",
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"MailingAddressCityName": "ARLINGTON",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-557-5101",
"MailingAddressFaxNumber": "817-557-0230",
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"PracticeLocationAddressFaxNumber": "817-557-0230",
"EnumerationDate": "06/27/2008",
"LastUpdateDate": "02/22/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PHAM",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}