{
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"FirstLineMailingAddress": "PO BOX 844658",
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"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75284-4339",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-724-2111",
"MailingAddressFaxNumber": "325-248-2109",
"FirstLinePracticeLocationAddress": "2005 W WALLACE ST",
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"PracticeLocationAddressCityName": "SAN SABA",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressTelephoneNumber": "325-372-5163",
"PracticeLocationAddressFaxNumber": "325-372-3988",
"EnumerationDate": "11/12/2010",
"LastUpdateDate": "10/17/2019",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OLS",
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"AuthorizedOfficialTelephoneNumber": "830-201-8679",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Rural Health Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}