{
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"FirstLineMailingAddress": "3300 OCALA CT",
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"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "6150 INDEPENDENCE PKWY",
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"PracticeLocationAddressTelephoneNumber": "214-395-6472",
"PracticeLocationAddressFaxNumber": "972-618-4234",
"EnumerationDate": "09/27/2007",
"LastUpdateDate": "09/27/2007",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": "MT045736",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}