{
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 770665",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77215-0665",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-771-6673",
"MailingAddressFaxNumber": "713-771-8449",
"FirstLinePracticeLocationAddress": "6820 LARKWOOD DR",
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"PracticeLocationAddressCityName": "HOUSTON",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressTelephoneNumber": "713-771-6673",
"PracticeLocationAddressFaxNumber": "713-771-8449",
"EnumerationDate": "04/10/2006",
"LastUpdateDate": "08/01/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VERNIK",
"AuthorizedOfficialFirstName": "GENE",
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"AuthorizedOfficialTelephoneNumber": "713-771-6673",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": "300104",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}