{
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"FirstLineMailingAddress": "3808 MANCHACA RD",
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"FirstLinePracticeLocationAddress": "3801 N CAPITAL OF TEXAS HWY",
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"EnumerationDate": "03/08/2011",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "DREES",
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"Taxonomies": {
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"LicenseNumber": "7535TG",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}