{
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"FirstLineMailingAddress": "2501 RR 620 S STE 130",
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"MailingAddressCityName": "LAKEWAY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "512-975-2020",
"MailingAddressFaxNumber": "512-975-3937",
"FirstLinePracticeLocationAddress": "2501 RR 620 S STE 130",
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"EnumerationDate": "08/14/2017",
"LastUpdateDate": "12/31/2018",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "CALDERON",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Retina Specialist (Ophthalmology) Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}