{
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 77",
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"MailingAddressPostalCode": "73645-0077",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-526-3311",
"MailingAddressFaxNumber": "580-526-3275",
"FirstLinePracticeLocationAddress": "215 WEST ROGER MILLER BLVD",
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"PracticeLocationAddressFaxNumber": "580-526-3275",
"EnumerationDate": "12/08/2011",
"LastUpdateDate": "12/08/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WOODY",
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"AuthorizedOfficialCredential": "PHARMD.",
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}
},
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}
}