{
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"EIN": null,
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"FirstLineMailingAddress": "1001 W PLEASANT RUN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DESOTO",
"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-722-4339",
"MailingAddressFaxNumber": "888-737-4524",
"FirstLinePracticeLocationAddress": "1005 W RALPH HALL PKWY",
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"PracticeLocationAddressCityName": "ROCKWALL",
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"PracticeLocationAddressPostalCode": "75032-6658",
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"PracticeLocationAddressTelephoneNumber": "972-722-4339",
"PracticeLocationAddressFaxNumber": "888-737-4524",
"EnumerationDate": "10/01/2008",
"LastUpdateDate": "04/03/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AMAECHI",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "214-476-6323",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332B00000X",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
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},
{
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},
{
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}
]
},
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}
}