{
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"PracticeLocationAddressFaxNumber": "281-561-7890",
"EnumerationDate": "08/31/2006",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEE",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
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{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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},
{
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}
]
}
}
}