{
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"FirstLineMailingAddress": "3930 S ALMA SCHOOL RD STE 3",
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"FirstLinePracticeLocationAddress": "21300 N JOHN WAYNE PKWY STE 107",
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"PracticeLocationAddressFaxNumber": "520-868-6106",
"EnumerationDate": "09/19/2018",
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
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}
},
"HealthcareProviderTaxonomyGroups": null
}
}