{
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"FirstLineMailingAddress": "21115 BELLA CORAL DR",
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"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-860-4197",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1214 RABURN RUN LN",
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"PracticeLocationAddressCityName": "TOMBALL",
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"EnumerationDate": "02/18/2025",
"LastUpdateDate": "02/18/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NWAHIRI",
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"AuthorizedOfficialCredential": "DON",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}