{
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"FirstLineMailingAddress": "9001 BRODIE LN",
"SecondLineMailingAddress": "C2",
"MailingAddressCityName": "AUSTIN",
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"MailingAddressPostalCode": "78748-5002",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "512-280-2276",
"FirstLinePracticeLocationAddress": "9001 BRODIE LN",
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"EnumerationDate": "12/03/2012",
"LastUpdateDate": "12/03/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HOANG",
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"AuthorizedOfficialTelephoneNumber": "512-280-2266",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pediatric Dentistry",
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"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}