{
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"FirstLineMailingAddress": "4920 MILLRIDGE PKWY E",
"SecondLineMailingAddress": "SUITE 206",
"MailingAddressCityName": "MIDLOTHIAN",
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"MailingAddressPostalCode": "23112-4857",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "804-608-9430",
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"FirstLinePracticeLocationAddress": "4920 MILLRIDGE PKWY E",
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"EnumerationDate": "12/28/2013",
"LastUpdateDate": "02/21/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
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"Gender": null,
"AuthorizedOfficialLastName": "DWYER",
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"AuthorizedOfficialCredential": "LCSW",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}