{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "TRUCARE CLINIC INC.",
"LastName": null,
"FirstName": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5 COWBOYS WAY STE 300",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FRISCO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75034-2074",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "833-843-3009",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2150 S STATE HIGHWAY 121",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEWISVILLE",
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"PracticeLocationAddressTelephoneNumber": "833-843-3009",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/19/2024",
"LastUpdateDate": "01/15/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHAPMAN",
"AuthorizedOfficialFirstName": "JOVAN",
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"AuthorizedOfficialTelephoneNumber": "240-938-1530",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}