{
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"OrgName": "KATHARINE M AYRES",
"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "102 DRY MILL RD SW",
"SecondLineMailingAddress": "103",
"MailingAddressCityName": "LEESBURG",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "20175-2635",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "102 DRY MILL RD SW",
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"PracticeLocationAddressCityName": "LEESBURG",
"PracticeLocationAddressStateName": "VA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-737-6465",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/10/2008",
"LastUpdateDate": "12/07/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AYRES",
"AuthorizedOfficialFirstName": "KATHARINE",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "PHYSICAL THERAPIST",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPT",
"AuthorizedOfficialTelephoneNumber": "703-737-3697",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
"LicenseNumber": "2305831290",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}