{
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"MailingAddressCountryCode": "US",
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"EnumerationDate": "07/15/2011",
"LastUpdateDate": "05/02/2024",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"LicenseNumber": "AP120602",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}