{
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"FirstLineMailingAddress": "7421 W HOLLAND AVE",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-523-4079",
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"FirstLinePracticeLocationAddress": "1502 PEMBERTON DR UNIT E",
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"PracticeLocationAddressCityName": "SALISBURY",
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"PracticeLocationAddressTelephoneNumber": "443-667-2515",
"PracticeLocationAddressFaxNumber": "443-228-4598",
"EnumerationDate": "12/23/2024",
"LastUpdateDate": "06/09/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUDSON",
"AuthorizedOfficialFirstName": "CHARLES",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}