{
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"FirstLineMailingAddress": "PO BOX 8886",
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"MailingAddressCityName": "THE WOODLANDS",
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"MailingAddressPostalCode": "77387-8886",
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"MailingAddressFaxNumber": "936-273-5221",
"FirstLinePracticeLocationAddress": "7050 LAKE VIEW HAVEN DR",
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"EnumerationDate": "04/03/2012",
"LastUpdateDate": "04/03/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HOWARD",
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"AuthorizedOfficialCredential": "LPC, PH.D.",
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"Taxonomies": {
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"LicenseNumberStateCode": "TX",
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}
},
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}
}
}
}