{
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"FirstLineMailingAddress": "5614 COMPTON LN",
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"FirstLinePracticeLocationAddress": "1425 LIBERTY RD STE 206",
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"PracticeLocationAddressFaxNumber": "410-995-8784",
"EnumerationDate": "12/13/2017",
"LastUpdateDate": "12/13/2017",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "DEVINCENT",
"AuthorizedOfficialFirstName": "DEBORAH",
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"AuthorizedOfficialCredential": "LCPC",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}