{
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"FirstLineMailingAddress": "4201 MEDICAL CENTER DR STE 280",
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"MailingAddressStateName": "TX",
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"MailingAddressTelephoneNumber": "972-562-1018",
"MailingAddressFaxNumber": "972-562-1026",
"FirstLinePracticeLocationAddress": "4201 MEDICAL CENTER DR STE 300",
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"PracticeLocationAddressCityName": "MCKINNEY",
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"PracticeLocationAddressTelephoneNumber": "469-975-8480",
"PracticeLocationAddressFaxNumber": "972-704-2936",
"EnumerationDate": "06/20/2016",
"LastUpdateDate": "01/19/2024",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JUDD",
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"AuthorizedOfficialTelephoneNumber": "972-822-5973",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Specialist",
"LicenseNumber": "K9943",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}