{
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"FirstLineMailingAddress": "5301 ALAMEDA AVE",
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"FirstLinePracticeLocationAddress": "5340 EL PASO DR",
"SecondLinePracticeLocationAddress": "STE C",
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"PracticeLocationAddressFaxNumber": "915-778-9904",
"EnumerationDate": "03/05/2007",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OBI",
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"AuthorizedOfficialTelephoneNumber": "915-543-3880",
"Taxonomies": {
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{
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},
{
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},
{
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}
]
},
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}
}