{
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"FirstLineMailingAddress": "10907 QUAKER AVE",
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"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79424-8315",
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"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "111 W 2ND ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CAMERON",
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"PracticeLocationAddressTelephoneNumber": "806-790-8487",
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"EnumerationDate": "02/05/2026",
"LastUpdateDate": "02/05/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BACKUS",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialTelephoneNumber": "806-790-8487",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}