{
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"EIN": null,
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"FirstLineMailingAddress": "210B N GLEBE RD",
"SecondLineMailingAddress": "SUITE 9",
"MailingAddressCityName": "ARLINGTON",
"MailingAddressStateName": "VA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-589-4336",
"MailingAddressFaxNumber": "703-522-7950",
"FirstLinePracticeLocationAddress": "210B N GLEBE RD",
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"PracticeLocationAddressCityName": "ARLINGTON",
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"PracticeLocationAddressTelephoneNumber": "703-589-4336",
"PracticeLocationAddressFaxNumber": "703-522-7950",
"EnumerationDate": "09/04/2014",
"LastUpdateDate": "09/04/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "47-1746233",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}