{
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"FirstLineMailingAddress": "3730 DRY CREEK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MISSOURI CITY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77459-1753",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-968-7946",
"MailingAddressFaxNumber": "281-968-7541",
"FirstLinePracticeLocationAddress": "104 W SEALY ST",
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"PracticeLocationAddressCityName": "ALVIN",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "281-968-7946",
"EnumerationDate": "03/15/2016",
"LastUpdateDate": "01/15/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NGUGI",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}