{
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"FirstLineMailingAddress": "5413 NAAMAN FOREST BLVD",
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"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5413 NAAMAN FOREST BLVD",
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"EnumerationDate": "08/20/2014",
"LastUpdateDate": "08/20/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ATUMAH",
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"AuthorizedOfficialCredential": "RN, BSN",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}