{
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"FirstLineMailingAddress": "202 DILLARD LN",
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"FirstLinePracticeLocationAddress": "2795 BULVERDE RD STE A",
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"EnumerationDate": "02/23/2016",
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"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMOOT",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}