{
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"FirstLineMailingAddress": "101 COWARDIN AVENUE",
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"EnumerationDate": "05/11/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHARITY",
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"AuthorizedOfficialTelephoneNumber": "804-233-8534",
"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}