{
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"IsOrgSubpart": "N",
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"OrgName": "ANN N. HEBDA, DDS. PC",
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"FirstLineMailingAddress": "20600 GORDON PARK SQUARE",
"SecondLineMailingAddress": "SUITE 190",
"MailingAddressCityName": "ASHBURN",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "20147",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-723-9788",
"MailingAddressFaxNumber": "703-723-9790",
"FirstLinePracticeLocationAddress": "20600 GORDON PARK SQUARE",
"SecondLinePracticeLocationAddress": "SUITE 190",
"PracticeLocationAddressCityName": "ASHBURN",
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"PracticeLocationAddressTelephoneNumber": "703-723-9788",
"PracticeLocationAddressFaxNumber": "703-723-9790",
"EnumerationDate": "02/03/2009",
"LastUpdateDate": "02/03/2009",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HEBDA",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "703-723-9788",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "0401008789",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}