{
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"FirstLinePracticeLocationAddress": "5409 N JIM MILLER RD STE 105",
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"PracticeLocationAddressCityName": "DALLAS",
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"EnumerationDate": "07/13/2020",
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"NPIReactivationDate": null,
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"Gender": null,
"AuthorizedOfficialLastName": "SIMMONS",
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"AuthorizedOfficialCredential": "DDS",
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}