{
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"FirstLineMailingAddress": "1115 WEBER ST",
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"MailingAddressTelephoneNumber": "337-828-2550",
"MailingAddressFaxNumber": "337-828-2791",
"FirstLinePracticeLocationAddress": "1115 WEBER ST",
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"EnumerationDate": "10/27/2006",
"LastUpdateDate": "05/15/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOANG",
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}