{
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"IsOrgSubpart": "N",
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"OrgName": "SOUTH TEXAS FAMILY CLINIC OF LAREDO",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "3914 RASOUL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAREDO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78045-4503",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-489-0098",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3914 RASOUL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAREDO",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressTelephoneNumber": "956-489-0098",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/27/2013",
"LastUpdateDate": "05/27/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RODRIGUEZ",
"AuthorizedOfficialFirstName": "SANDRA",
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"AuthorizedOfficialTitle": "FAMILY NURSE PRACTITIONER",
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"AuthorizedOfficialCredential": "FNP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": "669287",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}