{
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"FirstLineMailingAddress": "506 STRATFORD CIR",
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"MailingAddressCityName": "LOCUST GROVE",
"MailingAddressStateName": "VA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-406-0783",
"MailingAddressFaxNumber": "540-412-0886",
"FirstLinePracticeLocationAddress": "506 STRATFORD CIR",
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"PracticeLocationAddressCityName": "LAKE OF WOODS",
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"PracticeLocationAddressTelephoneNumber": "540-406-0783",
"PracticeLocationAddressFaxNumber": "540-412-0886",
"EnumerationDate": "07/15/2020",
"LastUpdateDate": "07/15/2020",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Aide",
"LicenseNumber": null,
"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."
}
}
}
}