{
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"IsOrgSubpart": "Y",
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 850436",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MESQUITE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75185-0436",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-698-9797",
"MailingAddressFaxNumber": "817-887-2305",
"FirstLinePracticeLocationAddress": "707 NORTH FWY",
"SecondLinePracticeLocationAddress": "SUITE 120",
"PracticeLocationAddressCityName": "FORT WORTH",
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"PracticeLocationAddressTelephoneNumber": "817-698-9797",
"PracticeLocationAddressFaxNumber": "817-887-2305",
"EnumerationDate": "02/15/2008",
"LastUpdateDate": "02/15/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GEORGE",
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"AuthorizedOfficialTitle": "DIRECTOR-1",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "972-222-9263",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}