{
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"OrgName": "MARY'S CENTER",
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"FirstLineMailingAddress": "3110 MOUNT VERNON AVE APT 514",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALEXANDRIA",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22305-2646",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "202-355-4352",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3110 MOUNT VERNON AVE",
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"PracticeLocationAddressCityName": "ALEXANDRIA",
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"PracticeLocationAddressTelephoneNumber": "202-355-4352",
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"EnumerationDate": "09/22/2015",
"LastUpdateDate": "09/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POWELL-DAVIS",
"AuthorizedOfficialFirstName": "MONIQUE",
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"AuthorizedOfficialTitle": "CHIEF MEDICAL OFFICER",
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"AuthorizedOfficialTelephoneNumber": "202-424-2655",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "RN967590",
"LicenseNumberStateCode": "DC",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}