{
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"FirstLineMailingAddress": "8719 ISAAC ST",
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"MailingAddressCityName": "PLANO",
"MailingAddressStateName": "TX",
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"FirstLinePracticeLocationAddress": "1860 S INDEPENDENCE PRKY",
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"EnumerationDate": "01/23/2018",
"LastUpdateDate": "01/23/2018",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "CHINNAREDDY",
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"AuthorizedOfficialCredential": "MD",
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"TaxonomyName": "Pediatrics Physician",
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"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}