{
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"FirstLineMailingAddress": "8006 GRANDVIEW CT",
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"FirstLinePracticeLocationAddress": "217 CAMERON ST",
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"PracticeLocationAddressCityName": "ALEXANDRIA",
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"EnumerationDate": "11/11/2021",
"LastUpdateDate": "11/11/2021",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ESCARDA",
"AuthorizedOfficialFirstName": "MICHAEL",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Orthopedic Physical Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}