{
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"FirstLineMailingAddress": "1926 W MORTON",
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"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "903-465-3492",
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"EnumerationDate": "05/20/2006",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BULLARD",
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"Taxonomies": {
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{
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},
{
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}
]
},
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}
}