{
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"FirstLineMailingAddress": "5920 HUBBARD DR",
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"MailingAddressTelephoneNumber": "301-984-9791",
"MailingAddressFaxNumber": "301-816-0907",
"FirstLinePracticeLocationAddress": "5920 HUBBARD DR",
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"PracticeLocationAddressCityName": "ROCKVILLE",
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"PracticeLocationAddressFaxNumber": "301-816-0907",
"EnumerationDate": "08/19/2024",
"LastUpdateDate": "08/19/2024",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VINSTON",
"AuthorizedOfficialFirstName": "TERRY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "240-401-3585",
"Taxonomies": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}