{
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"FirstLineMailingAddress": "2363 ALBANY WAY",
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"FirstLinePracticeLocationAddress": "2363 ALBANY WAY",
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"EnumerationDate": "05/16/2025",
"LastUpdateDate": "05/16/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILLIE",
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"AuthorizedOfficialTelephoneNumber": "202-710-6011",
"Taxonomies": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}