{
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"FirstLineMailingAddress": "649 HARKLE RD",
"SecondLineMailingAddress": "SUITE E",
"MailingAddressCityName": "SANTA FE",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "505-989-8200",
"MailingAddressFaxNumber": "505-989-8131",
"FirstLinePracticeLocationAddress": "901 W ALAMEDA ST",
"SecondLinePracticeLocationAddress": "SUITE 25",
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"PracticeLocationAddressTelephoneNumber": "505-988-8869",
"PracticeLocationAddressFaxNumber": "505-982-7321",
"EnumerationDate": "11/02/2015",
"LastUpdateDate": "09/30/2021",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADAMS",
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"AuthorizedOfficialTelephoneNumber": "505-989-8200",
"Taxonomies": {
"Taxonomy": [
{
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},
{
"TaxonomyCode": "261QF0400X",
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}
]
},
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}
}