{
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"FirstLineMailingAddress": "8220 WALNUT HILL LANE",
"SecondLineMailingAddress": "PROF. BLDG 2, SUITE 106",
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75231",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-692-1359",
"MailingAddressFaxNumber": "214-369-1810",
"FirstLinePracticeLocationAddress": "8220 WALNUT HILL LANE",
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"PracticeLocationAddressCityName": "DALLAS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-692-1359",
"PracticeLocationAddressFaxNumber": "214-369-1810",
"EnumerationDate": "01/06/2012",
"LastUpdateDate": "01/06/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STREMPEK",
"AuthorizedOfficialFirstName": "JACQUELINE",
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"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "214-692-1359",
"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": "21398",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}