{
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"FirstLineMailingAddress": "PO BOX 100923",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1901 FORT MYER DR STE 1130",
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"EnumerationDate": "10/23/2019",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "BETTWY",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}