{
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"EIN": null,
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"FirstName": "BRUCE",
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"NameSuffix": null,
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"FirstLineMailingAddress": "409 GLENWOOD ST",
"SecondLineMailingAddress": "500",
"MailingAddressCityName": "GLEN ROSE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76043-4933",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-897-2202",
"MailingAddressFaxNumber": "254-897-1638",
"FirstLinePracticeLocationAddress": "2800 VILLAGE RD",
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"PracticeLocationAddressCityName": "GRANBURY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-573-0444",
"PracticeLocationAddressFaxNumber": "817-573-2733",
"EnumerationDate": "05/04/2006",
"LastUpdateDate": "01/12/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "F6508",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}