{
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"FirstLineMailingAddress": "9355 LONG POINT RD STE L",
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"MailingAddressFaxNumber": "713-465-6119",
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"EnumerationDate": "11/07/2011",
"LastUpdateDate": "06/23/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NYLANDER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "713-724-2194",
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{
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},
{
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},
{
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},
{
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}
]
},
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}
}