{
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"NameSuffix": null,
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"FirstLineMailingAddress": "9910 FRANKLIN SQUARE DR STE 2110",
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"MailingAddressCityName": "BALTIMORE",
"MailingAddressStateName": "MD",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "410-735-4244",
"FirstLinePracticeLocationAddress": "17001 SCIENCE DR STE 102",
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"PracticeLocationAddressCityName": "BOWIE",
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"EnumerationDate": "06/11/2012",
"LastUpdateDate": "05/21/2018",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}