{
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"FirstLineMailingAddress": "9101 LBJ FWY STE 450",
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"MailingAddressTelephoneNumber": "469-895-2180",
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"FirstLinePracticeLocationAddress": "9101 LBJ FWY STE 450",
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"EnumerationDate": "08/06/2021",
"LastUpdateDate": "01/08/2026",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "THOMAS",
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"AuthorizedOfficialTelephoneNumber": "214-680-1623",
"Taxonomies": {
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}
},
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}
}