{
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"FirstLineMailingAddress": "4728 CROOKED LN",
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"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4728 CROOKED LN",
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"PracticeLocationAddressStateName": "TX",
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"EnumerationDate": "03/03/2011",
"LastUpdateDate": "03/03/2011",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CASAS",
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"AuthorizedOfficialTitle": "SOLE PROPRIETOR",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "L2174",
"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."
}
}
}
}