{
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"FirstLineMailingAddress": "PO BOX 22068",
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"MailingAddressStateName": "MD",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "614 WOODBOURNE AVE",
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"PracticeLocationAddressStateName": "MD",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/23/2023",
"LastUpdateDate": "08/23/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RICHARDSON",
"AuthorizedOfficialFirstName": "CASSEY",
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"AuthorizedOfficialCredential": "(AO)",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}