{
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"FirstLineMailingAddress": "6942 FM 1960 RD E # 321",
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"FirstLinePracticeLocationAddress": "1507 HAMLIN VALLEY DR",
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"PracticeLocationAddressFaxNumber": "888-283-8366",
"EnumerationDate": "07/16/2018",
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}