{
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"LastName": null,
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"FirstLineMailingAddress": "766 PLANTATION ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAIZE",
"MailingAddressStateName": "KS",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1144 N SAINT FRANCIS ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WICHITA",
"PracticeLocationAddressStateName": "KS",
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"PracticeLocationAddressTelephoneNumber": "316-267-0159",
"PracticeLocationAddressFaxNumber": "316-267-8599",
"EnumerationDate": "09/18/2009",
"LastUpdateDate": "09/18/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALVAREZ",
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"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "316-617-5245",
"Taxonomies": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}