{
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"FirstLineMailingAddress": "4205 N WINFIELD SCOTT PLZ STE 6",
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"MailingAddressFaxNumber": "703-757-6195",
"FirstLinePracticeLocationAddress": "4205 N WINFIELD SCOTT PLZ STE 6",
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"PracticeLocationAddressTelephoneNumber": "571-439-6730",
"PracticeLocationAddressFaxNumber": "703-757-6195",
"EnumerationDate": "09/21/2021",
"LastUpdateDate": "09/21/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORSE",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Plastic Surgery Physician",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}