{
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"FirstLineMailingAddress": "6417 BLUEBILL LN",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-721-0069",
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"FirstLinePracticeLocationAddress": "108 S COLUMBUS ST",
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"EnumerationDate": "02/23/2007",
"LastUpdateDate": "08/22/2020",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KASHANI",
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"AuthorizedOfficialCredential": "L.AC., DIPL.AC.",
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}
},
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}
}
}
}