{
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"FirstLineMailingAddress": "1905 S MARKET ST",
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"MailingAddressTelephoneNumber": "979-830-8833",
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"FirstLinePracticeLocationAddress": "1905 S MARKET ST",
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"EnumerationDate": "03/05/2008",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAMIREZ",
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"AuthorizedOfficialTelephoneNumber": "979-830-8833",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}