{
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"FirstLineMailingAddress": "PO BOX 190",
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"FirstLinePracticeLocationAddress": "1027 MINERAL WELLS AVE",
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"EnumerationDate": "10/30/2007",
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"AuthorizedOfficialLastName": "WARREN",
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"TaxonomyName": "Psychiatry Physician",
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}
},
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}
}
}
}