{
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"FirstLineMailingAddress": "PO BOX 16297",
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"FirstLinePracticeLocationAddress": "2930 HILLRISE DR STE 5",
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"PracticeLocationAddressCityName": "LAS CRUCES",
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"EnumerationDate": "06/03/2025",
"LastUpdateDate": "11/11/2025",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANTANA",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}