{
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"FirstLineMailingAddress": "8408 LIBRARY ST",
"SecondLineMailingAddress": null,
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"MailingAddressPostalCode": "75034-4955",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "3550 PARKWOOD BLVD",
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"EnumerationDate": "08/04/2008",
"LastUpdateDate": "09/29/2009",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEE",
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"AuthorizedOfficialCredential": "PH.D. LPC-S",
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}
},
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}
}
}
}