{
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"FirstLineMailingAddress": "1327 E WASHINGTON AVE STE 110",
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"MailingAddressCityName": "HARLINGEN",
"MailingAddressStateName": "TX",
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"FirstLinePracticeLocationAddress": "5501 S EXPRESSWAY 77",
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"PracticeLocationAddressCityName": "HARLINGEN",
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"EnumerationDate": "05/04/2011",
"LastUpdateDate": "04/09/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "MCINTOSH",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pain Medicine Physician",
"LicenseNumber": "M8177",
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}
},
"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."
}
}
}
}