{
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"FirstLineMailingAddress": "510 S COWLEY ST STE 200",
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"EnumerationDate": "03/24/2008",
"LastUpdateDate": "01/16/2024",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "SCHAUBLE",
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"Taxonomies": {
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"TaxonomyName": "Dermatology Physician",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}