{
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"FirstLineMailingAddress": "661 S MESA HILLS DR",
"SecondLineMailingAddress": "STE 102",
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"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79912-5550",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "4009 N MESA ST",
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"EnumerationDate": "07/01/2011",
"LastUpdateDate": "05/07/2015",
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"AuthorizedOfficialLastName": "LEMEZ",
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"Taxonomies": {
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}