{
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"FirstLineMailingAddress": "PO BOX 1109",
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"MailingAddressStateName": "TX",
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"FirstLinePracticeLocationAddress": "5614 1ST ST",
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"EnumerationDate": "08/05/2014",
"LastUpdateDate": "09/03/2020",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "VON HEUVEL",
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"Taxonomies": {
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"TaxonomyName": "Gerontology Nurse Practitioner",
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}
},
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}
}
}
}