{
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"FirstLineMailingAddress": "1636 ABERDEEN RD",
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"MailingAddressCityName": "TOWSON",
"MailingAddressStateName": "MD",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-564-6085",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1600 W 41ST ST STE 300",
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"PracticeLocationAddressCityName": "BALTIMORE",
"PracticeLocationAddressStateName": "MD",
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"EnumerationDate": "05/22/2020",
"LastUpdateDate": "12/30/2023",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HALL",
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"AuthorizedOfficialCredential": "PT, DPT",
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"Taxonomies": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}