{
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"FirstLineMailingAddress": "14029 BREEDERS CUP DR",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "10560 MAIN ST STE 417",
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"EnumerationDate": "06/16/2006",
"LastUpdateDate": "03/29/2018",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WRIGHT",
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"AuthorizedOfficialCredential": "MOT, OTR/L, CHT",
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"Taxonomy": {
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"TaxonomyName": "Occupational Therapist",
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"LicenseNumberStateCode": "VA",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}