{
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"FirstLineMailingAddress": "2415 MUSGROVE RD.",
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"MailingAddressFaxNumber": "301-384-5976",
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"EnumerationDate": "08/26/2026",
"LastUpdateDate": "08/26/2026",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NOTTINGHAM",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}