{
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"FirstLineMailingAddress": "1158 PROFESSIONAL DR STE C",
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"MailingAddressCityName": "WILLIAMSBURG",
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"MailingAddressFaxNumber": "757-345-5241",
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"EnumerationDate": "07/19/2012",
"LastUpdateDate": "07/19/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KEESEE",
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"AuthorizedOfficialTelephoneNumber": "757-753-0563",
"Taxonomies": {
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}
},
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}
}