{
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"FirstLineMailingAddress": "2615 OAKWOOD GLEN DR",
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"MailingAddressCityName": "CEDAR PARK",
"MailingAddressStateName": "TX",
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"FirstLinePracticeLocationAddress": "2111 KRAMER LN STE 100",
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"PracticeLocationAddressCityName": "AUSTIN",
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"PracticeLocationAddressTelephoneNumber": "512-508-8320",
"PracticeLocationAddressFaxNumber": "512-488-1745",
"EnumerationDate": "12/13/2017",
"LastUpdateDate": "10/27/2020",
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"GenderCode": "F",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}