{
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"EIN": null,
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"IsOrgSubpart": "N",
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"NamePrefix": null,
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"FirstLineMailingAddress": "9899 MAIN ST STE 202",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DAMASCUS",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20872-2066",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "301-414-0023",
"FirstLinePracticeLocationAddress": "9899 MAIN ST STE 202",
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"PracticeLocationAddressCityName": "DAMASCUS",
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"PracticeLocationAddressTelephoneNumber": "301-414-0023",
"PracticeLocationAddressFaxNumber": "301-414-0186",
"EnumerationDate": "07/27/2017",
"LastUpdateDate": "07/27/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHARMA",
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"Taxonomies": {
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"TaxonomyName": "Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}