{
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"OrgName": "DRS BACHOUR & CHURCH, PLLC",
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"FirstLineMailingAddress": "8045 LEESBURG PIKE FL 5",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VIENNA",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22182-2737",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "20405 EXCHANGE ST",
"SecondLinePracticeLocationAddress": "SUITE 201",
"PracticeLocationAddressCityName": "ASHBURN",
"PracticeLocationAddressStateName": "VA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-464-0868",
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"EnumerationDate": "10/07/2013",
"LastUpdateDate": "10/08/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BACHOUR",
"AuthorizedOfficialFirstName": "MAYA",
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"AuthorizedOfficialTitle": "PARTNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "919-360-1763",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dentist",
"LicenseNumber": "0401411337",
"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."
}
}
}
}