{
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"FirstLineMailingAddress": "3012 SW 26TH AVE STE 500",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AMARILLO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79109-3110",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "806-280-0855",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3012 SW 26TH AVE STE 500",
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"EnumerationDate": "10/02/2018",
"LastUpdateDate": "10/02/2018",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "JACKSON",
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"Taxonomies": {
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"TaxonomyName": "Hearing and Speech Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}