{
"Npi": {
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"EIN": null,
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"FirstLineMailingAddress": "2153 ELM TREE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SILVER SPRING",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20906-6310",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-603-8478",
"MailingAddressFaxNumber": "301-946-9164",
"FirstLinePracticeLocationAddress": "10605 CONCORD ST",
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"PracticeLocationAddressCityName": "KENSINGTON",
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"PracticeLocationAddressTelephoneNumber": "301-929-0688",
"PracticeLocationAddressFaxNumber": "301-946-9164",
"EnumerationDate": "03/06/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
"LicenseNumber": "A1791",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}