{
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"FirstLineMailingAddress": "12416 HYMEADOW DR, SUITE 202",
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"MailingAddressCityName": "AUSTIN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "512-917-2058",
"MailingAddressFaxNumber": "512-331-7995",
"FirstLinePracticeLocationAddress": "12416 HYMEADOW DR STE 202",
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"PracticeLocationAddressFaxNumber": "512-331-7995",
"EnumerationDate": "05/14/2007",
"LastUpdateDate": "08/26/2009",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHEELER",
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"AuthorizedOfficialTelephoneNumber": "512-917-2058",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "253Z00000X",
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},
{
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}
]
},
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}
}