{
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"FirstLineMailingAddress": "18124 GREAT BASIN AVENUE",
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"FirstLinePracticeLocationAddress": "108 DENVER TRL",
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"PracticeLocationAddressCityName": "AZLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-820-4906",
"PracticeLocationAddressFaxNumber": "817-820-4815",
"EnumerationDate": "01/29/2016",
"LastUpdateDate": "10/27/2025",
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"GenderCode": "F",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}