{
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"FirstLineMailingAddress": "PO BOX 841657",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-975-2281",
"MailingAddressFaxNumber": "800-477-5801",
"FirstLinePracticeLocationAddress": "2101 NW 33RD ST",
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"EnumerationDate": "06/30/2006",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STOCKSDALE",
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"AuthorizedOfficialTelephoneNumber": "954-975-2281",
"Taxonomies": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}