{
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"FirstLineMailingAddress": "1511 GOLF COURSE RD SE",
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"MailingAddressFaxNumber": "505-933-8601",
"FirstLinePracticeLocationAddress": "1511 GOLF COURSE RD SE",
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"EnumerationDate": "10/02/2014",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WASSON",
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"AuthorizedOfficialCredential": "D.C., NM-APC",
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"Taxonomies": {
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}