{
  "npi": "1154582542",
  "enumeration_type": "NPI-1",
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    "certification_date": "2026-04-27",
    "credential": "M.D.",
    "enumeration_date": "2008-06-19",
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    "last_updated": "2026-04-27",
    "middle_name": "N.",
    "name_prefix": "Dr.",
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      "address_1": "2001 N JEFFERSON AVE STE 130",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MOUNT PLEASANT",
      "country_code": "US",
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      "state": "TX",
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    },
    {
      "address_1": "710 N NILES AVE",
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      "code": "207RP1001X",
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      "status": "CLEAR",
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    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
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  "enrichment": {
    "plain_english_specialty": "Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)",
    "certifying_board": "American Board of Internal Medicine (ABIM)",
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}