{
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"FirstLineMailingAddress": "601 E SAN ANTONIO ST",
"SecondLineMailingAddress": "SUITE 402W",
"MailingAddressCityName": "VICTORIA",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77901-6040",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "361-485-9600",
"MailingAddressFaxNumber": "361-485-9610",
"FirstLinePracticeLocationAddress": "601 E SAN ANTONIO ST",
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"EnumerationDate": "10/04/2007",
"LastUpdateDate": "03/05/2013",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "QADRI",
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"AuthorizedOfficialCredential": "M. D.",
"AuthorizedOfficialTelephoneNumber": "361-485-9600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RH0003X",
"TaxonomyName": "Hematology & Oncology Physician",
"LicenseNumber": "L3079",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}