{
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"OrgName": "INOVA HEALTH SYSTEMS",
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 1110",
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"MailingAddressCityName": "FAIRFAX",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22038-2522",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-218-8500",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11204 WAPLES MILL RD",
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"PracticeLocationAddressCityName": "FAIRFAX",
"PracticeLocationAddressStateName": "VA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-218-8500",
"PracticeLocationAddressFaxNumber": "703-359-0463",
"EnumerationDate": "10/17/2006",
"LastUpdateDate": "11/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCGUIRE-ROBB",
"AuthorizedOfficialFirstName": "REGINA",
"AuthorizedOfficialMiddleName": "MARIE",
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"AuthorizedOfficialCredential": "L.C.S.W.",
"AuthorizedOfficialTelephoneNumber": "703-218-8563",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
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"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}