{
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"FirstLineMailingAddress": "4545 CONNECTICUT AVE NW APT 414",
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"MailingAddressCityName": "WASHINGTON",
"MailingAddressStateName": "DC",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "202-888-5022",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1100 ALABAMA AVE SE",
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"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
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"PracticeLocationAddressTelephoneNumber": "202-299-5610",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/15/2019",
"LastUpdateDate": "08/15/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALL",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}