{
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"FirstLineMailingAddress": "1180 ADAMS LN",
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"MailingAddressStateName": "TX",
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"FirstLinePracticeLocationAddress": "1101 N. ROCK RD., BLDG 2",
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"PracticeLocationAddressCityName": "DERBY",
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"EnumerationDate": "02/01/2017",
"LastUpdateDate": "02/01/2017",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "DRERUP",
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"AuthorizedOfficialTelephoneNumber": "817-875-7336",
"Taxonomies": {
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"TaxonomyName": "Ambulatory Surgical Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}