{
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"FirstLinePracticeLocationAddress": "928 CROWDER DR",
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"EnumerationDate": "09/15/2016",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "FEASTER",
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"AuthorizedOfficialTelephoneNumber": "979-337-4485",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}