{
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"FirstLineMailingAddress": "5402 WALZEM RD",
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"MailingAddressCityName": "SAN ANTONIO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78218-2125",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "907 S WW WHITE RD",
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"PracticeLocationAddressCityName": "SAN ANTONIO",
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"EnumerationDate": "12/01/2009",
"LastUpdateDate": "12/01/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SIMPTON",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "210-837-9056",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "21340",
"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."
}
}
}
}