{
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"FirstLineMailingAddress": "PO BOX 8244",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROSWELL",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "88202-8244",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "575-214-2355",
"MailingAddressFaxNumber": "575-286-0284",
"FirstLinePracticeLocationAddress": "607 W COUNTRY CLUB RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROSWELL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "575-214-2355",
"PracticeLocationAddressFaxNumber": "575-286-0284",
"EnumerationDate": "05/25/2023",
"LastUpdateDate": "06/16/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARKER-GUERRERO",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}