{
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"FirstLineMailingAddress": "2117 HARTFORD RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMPTON",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23666-2408",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-825-4273",
"MailingAddressFaxNumber": "757-825-4276",
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"PracticeLocationAddressCityName": "HAMPTON",
"PracticeLocationAddressStateName": "VA",
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"EnumerationDate": "10/06/2006",
"LastUpdateDate": "03/24/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "O'CONNELL",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "757-825-4273",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}