{
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"FirstLineMailingAddress": "12813 PINE TREE LN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "240-355-5092",
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"FirstLinePracticeLocationAddress": "5290 SHAWNEE RD STE 15A",
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"PracticeLocationAddressCityName": "ALEXANDRIA",
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"EnumerationDate": "07/23/2025",
"LastUpdateDate": "07/23/2025",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HAMPTON",
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"Taxonomies": {
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"TaxonomyName": "In Home Supportive Care Agency",
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}
},
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}
}