{
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"OrgName": "NORTHERN VIRGINIA FOOT AND ANKLE ASSOCIATES",
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"FirstLineMailingAddress": "8221 OLD COURTHOUSE RD",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-734-1311",
"MailingAddressFaxNumber": "703-734-9090",
"FirstLinePracticeLocationAddress": "8221 OLD COURTHOUSE RD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-734-1311",
"PracticeLocationAddressFaxNumber": "703-734-9090",
"EnumerationDate": "02/29/2016",
"LastUpdateDate": "03/15/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DANSEY",
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"AuthorizedOfficialMiddleName": null,
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"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "571-213-1047",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
"LicenseNumber": "2305203384",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}