{
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"FirstLineMailingAddress": "2600 N HIGHWAY 118",
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"PracticeLocationAddressFaxNumber": "432-837-0275",
"EnumerationDate": "09/21/2006",
"LastUpdateDate": "06/17/2008",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "MOELLER",
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"Taxonomies": {
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"TaxonomyName": "Diagnostic Radiology Physician",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}