{
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"IsOrgSubpart": "N",
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"OrgName": "JOHN H AND CATHY R FEDER",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "8514 BOUND BROOK LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALEXANDRIA",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22309-2114",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-780-0631",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3345 DUKE ST",
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"PracticeLocationAddressCityName": "ALEXANDRIA",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22314-5219",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-370-4093",
"PracticeLocationAddressFaxNumber": "703-370-4093",
"EnumerationDate": "06/28/2006",
"LastUpdateDate": "06/17/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FEDER",
"AuthorizedOfficialFirstName": "CATHY",
"AuthorizedOfficialMiddleName": "RICHARDSON",
"AuthorizedOfficialTitle": "OWNER/CHIEF PHYSICAL THERAPIST",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPT",
"AuthorizedOfficialTelephoneNumber": "703-370-4093",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "2305001645",
"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."
}
}
}
}