{
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"FirstLineMailingAddress": "PO BOX 164",
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"MailingAddressFaxNumber": "956-292-0371",
"FirstLinePracticeLocationAddress": "4705 S SUGAR RD STE B",
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"PracticeLocationAddressFaxNumber": "956-292-0371",
"EnumerationDate": "02/05/2007",
"LastUpdateDate": "08/22/2020",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BERNAL-LOPEZ",
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"Taxonomies": {
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"TaxonomyName": "Local Education Agency (LEA)",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}