{
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"FirstLineMailingAddress": "4040 ESTATE LA GRANDE PRINCESS",
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"EnumerationDate": "01/13/2016",
"LastUpdateDate": "01/13/2016",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARVEY",
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"AuthorizedOfficialTelephoneNumber": "540-890-3409",
"Taxonomies": {
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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},
{
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},
{
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"LicenseNumber": "2-13924-3L",
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}
]
},
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}
}