{
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"FirstLineMailingAddress": "8700 MANCHACA RD",
"SecondLineMailingAddress": "SUITE 102",
"MailingAddressCityName": "AUSTIN",
"MailingAddressStateName": "TX",
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"FirstLinePracticeLocationAddress": "8700 MANCHACA RD",
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"EnumerationDate": "08/14/2013",
"LastUpdateDate": "08/14/2013",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "WINER",
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"Taxonomies": {
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}