{
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"FirstLineMailingAddress": "4400 CORPORATION LANE",
"SecondLineMailingAddress": "SUITE #102",
"MailingAddressCityName": "VIRGINIA BEACH",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23462",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-389-5850",
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"FirstLinePracticeLocationAddress": "4400 CORPORATION LANE",
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"EnumerationDate": "01/16/2009",
"LastUpdateDate": "01/26/2009",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHOE",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Facial Plastic Surgery Physician",
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"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}