{
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"FirstLineMailingAddress": "3407 MONTROSE BLVD",
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"MailingAddressCountryCode": "UM",
"MailingAddressTelephoneNumber": "832-831-6968",
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"FirstLinePracticeLocationAddress": "3407 MONTROSE BLVD",
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"EnumerationDate": "03/22/2016",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "APUY",
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"AuthorizedOfficialCredential": "RDA, CDC, CDBS",
"AuthorizedOfficialTelephoneNumber": "480-626-1289",
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"LicenseNumberStateCode": "TX",
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}
},
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}
}
}
}