{
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"FirstLineMailingAddress": "PO BOX 241690",
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"MailingAddressCityName": "SAN ANTONIO",
"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "7400 BARLITE BLVD",
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"EnumerationDate": "07/21/2020",
"LastUpdateDate": "07/21/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "BIELER",
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"TaxonomyName": "Internal Medicine Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}