{
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"FirstLineMailingAddress": "14371 BEAKER CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURTONSVILLE",
"MailingAddressStateName": "MD",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "724 E CAPITOL ST NE",
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"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
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"EnumerationDate": "08/01/2016",
"LastUpdateDate": "10/10/2016",
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"NPIDeactivationDate": null,
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"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GAKUYA",
"AuthorizedOfficialFirstName": "ANGELINE",
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"AuthorizedOfficialTelephoneNumber": "202-547-0378",
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{
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},
{
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},
{
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},
{
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}
]
},
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}
}