{
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"FirstLineMailingAddress": "5711 MCCULLOUGH AVE",
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"MailingAddressCityName": "GALVESTON",
"MailingAddressStateName": "TX",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1031 LAUREL ST",
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"EnumerationDate": "12/14/2011",
"LastUpdateDate": "12/14/2011",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHEPPARD",
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"Taxonomies": {
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"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}