{
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"FirstLineMailingAddress": "1262 SEAMIST DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77008-6146",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-290-6748",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1717 W 34TH ST UNIT 600",
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"PracticeLocationAddressCityName": "HOUSTON",
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"EnumerationDate": "09/10/2019",
"LastUpdateDate": "09/10/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHEHAB",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "386-290-6748",
"Taxonomies": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}