{
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"FirstLineMailingAddress": "20 VITAL WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SILVER SPRING",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20904-3446",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-388-0596",
"MailingAddressFaxNumber": "301-388-0597",
"FirstLinePracticeLocationAddress": "20 VITAL WAY",
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"PracticeLocationAddressFaxNumber": "301-388-0597",
"EnumerationDate": "05/26/2006",
"LastUpdateDate": "09/16/2008",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AKPAETE",
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"Taxonomies": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
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"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}