{
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"FirstLineMailingAddress": "1200 SUMMIT AVE",
"SecondLineMailingAddress": "SUITE 444",
"MailingAddressCityName": "FORT WORTH",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-446-4792",
"MailingAddressFaxNumber": "817-446-0923",
"FirstLinePracticeLocationAddress": "4242 BRYANT IRVIN RD",
"SecondLinePracticeLocationAddress": "COVENANT PLACE OF BURLESON, LP",
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"PracticeLocationAddressFaxNumber": "817-763-8841",
"EnumerationDate": "04/16/2007",
"LastUpdateDate": "02/17/2015",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "MCCALEB",
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"AuthorizedOfficialTelephoneNumber": "817-446-4792",
"Taxonomies": {
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"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "000619",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}