{
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"FirstLineMailingAddress": "PO DRAWER 410",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHARLOTTE COURTHOUSE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23923-0410",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "434-542-5522",
"MailingAddressFaxNumber": "434-542-4487",
"FirstLinePracticeLocationAddress": "560 GEORGE WASHINGTON ROAD",
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"EnumerationDate": "02/12/2010",
"LastUpdateDate": "02/12/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALGEIER",
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"AuthorizedOfficialMiddleName": "B",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "434-542-5522",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}