{
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"FirstLineMailingAddress": "25511 BUDDE RD STE 3701",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "THE WOODLANDS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77380-4173",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-479-7761",
"MailingAddressFaxNumber": "281-358-2153",
"FirstLinePracticeLocationAddress": "350 KINGWOOD MEDICAL DR",
"SecondLinePracticeLocationAddress": "SUITE 150",
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"PracticeLocationAddressTelephoneNumber": "281-348-2166",
"PracticeLocationAddressFaxNumber": "281-358-2153",
"EnumerationDate": "01/02/2008",
"LastUpdateDate": "10/08/2026",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUNTING",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "1780",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}