{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "6323 GEORGIA AVE NW",
"SecondLineMailingAddress": "SUITE 207",
"MailingAddressCityName": "WASHINGTON",
"MailingAddressStateName": "DC",
"MailingAddressPostalCode": "20011-1101",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "202-722-4708",
"MailingAddressFaxNumber": "202-722-7512",
"FirstLinePracticeLocationAddress": "6323 GEORGIA AVE NW",
"SecondLinePracticeLocationAddress": "SUITE 207",
"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "202-722-4708",
"PracticeLocationAddressFaxNumber": "202-722-7512",
"EnumerationDate": "05/02/2007",
"LastUpdateDate": "10/03/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GAY",
"AuthorizedOfficialFirstName": "DIONNE",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "202-722-4708",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}