{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "CVS",
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"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8839 STONEBROOK LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLUMBIA",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21046-1415",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-449-6230",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6480 OLD WATERLOO ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELKRIDGE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21075",
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"PracticeLocationAddressTelephoneNumber": "410-799-0291",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/01/2015",
"LastUpdateDate": "09/01/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REZAKHAN",
"AuthorizedOfficialFirstName": "JENNIFER",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DISTRICT MANAGER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "443-716-5153",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QC1500X",
"TaxonomyName": "Community Health Clinic/Center",
"LicenseNumber": "23561",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}