{
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"FirstLineMailingAddress": "507 BISHOP ST NW APT 3404",
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"FirstLinePracticeLocationAddress": "862 MARTIN LUTHER KING JR DR SW",
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"EnumerationDate": "04/09/2019",
"LastUpdateDate": "04/09/2019",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "CARTER",
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"Taxonomies": {
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"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}