{
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"FirstLineMailingAddress": "5205 43RD AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HYATTSVILLE",
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"MailingAddressTelephoneNumber": "301-927-6684",
"MailingAddressFaxNumber": "301-927-9167",
"FirstLinePracticeLocationAddress": "5205 43RD AVE",
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"PracticeLocationAddressCityName": "HYATTSVILLE",
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"PracticeLocationAddressFaxNumber": "301-927-9167",
"EnumerationDate": "04/23/2018",
"LastUpdateDate": "04/23/2018",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MULLAN",
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"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}