{
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"FirstLineMailingAddress": "12111 DARNESTOWN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GAITHERSBURG",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20878-2205",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-926-3020",
"MailingAddressFaxNumber": "301-926-3021",
"FirstLinePracticeLocationAddress": "12111 DARNESTOWN RD",
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"PracticeLocationAddressCityName": "GAITHERSBURG",
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"PracticeLocationAddressFaxNumber": "301-926-3021",
"EnumerationDate": "08/26/2013",
"LastUpdateDate": "08/26/2013",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KUCHKA-CRAIG",
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"AuthorizedOfficialTitle": "CORPORATE VICE PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "410-772-6827",
"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}