{
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"FirstLineMailingAddress": "2630 MONROE ST NE",
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"MailingAddressCityName": "WASHINGTON",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "901 6TH ST SW STE PTC",
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"EnumerationDate": "02/06/2007",
"LastUpdateDate": "11/27/2024",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}