{
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"FirstLineMailingAddress": "111 EMERGENCY DR",
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"MailingAddressCityName": "LIVINGSTON",
"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "111 EMERGENCY DR",
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"EnumerationDate": "07/17/2019",
"LastUpdateDate": "07/23/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAHBOUBI",
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"AuthorizedOfficialTelephoneNumber": "469-341-7800",
"Taxonomies": {
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"TaxonomyName": "Emergency Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}