{
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"FirstLineMailingAddress": "8250 LOCKERBIE RD",
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"FirstLinePracticeLocationAddress": "8250 LOCKERBIE RD",
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"EnumerationDate": "02/01/2010",
"LastUpdateDate": "05/05/2010",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "O'NEIL",
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"AuthorizedOfficialCredential": "PT, DPT, ATP",
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}
},
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}
}
}
}