{
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"FirstLineMailingAddress": "4222 BONNIEBANK RD STE 203",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH CHESTERFIELD",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23234-6632",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "4222 BONNIEBANK RD STE 203",
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"PracticeLocationAddressCityName": "NORTH CHESTERFIELD",
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"EnumerationDate": "10/14/2020",
"LastUpdateDate": "10/14/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAMUDU",
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"AuthorizedOfficialCredential": "MD/CEO",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Aide",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}