{
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"FirstLineMailingAddress": "3701 KIRBY DR",
"SecondLineMailingAddress": "SUITE 1230",
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77098-3900",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-526-0005",
"MailingAddressFaxNumber": "713-524-1602",
"FirstLinePracticeLocationAddress": "3701 KIRBY DR",
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"EnumerationDate": "10/31/2005",
"LastUpdateDate": "02/24/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CROFOOT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "E9592",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}