{
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"FirstLineMailingAddress": "9739 AVENEL FARM DR",
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"MailingAddressCityName": "POTOMAC",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20854-5413",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": "301-365-9412",
"FirstLinePracticeLocationAddress": "8500 ANNAPOLIS RD",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "NEW CARROLLTON",
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"PracticeLocationAddressTelephoneNumber": "301-365-8458",
"PracticeLocationAddressFaxNumber": "301-365-9412",
"EnumerationDate": "05/09/2014",
"LastUpdateDate": "05/09/2014",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BHOOSHAN",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomy": {
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"TaxonomyName": "Urgent Care Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}