{
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"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "PO BOX 482",
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"MailingAddressCityName": "PENNINGTON GAP",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24277-0482",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "282 WESTGATE MALL CIR",
"SecondLinePracticeLocationAddress": "SUITE 104",
"PracticeLocationAddressCityName": "PENNINGTON GAP",
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"PracticeLocationAddressTelephoneNumber": "276-546-1234",
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"EnumerationDate": "11/03/2013",
"LastUpdateDate": "11/03/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIBSON",
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"AuthorizedOfficialCredential": "MPT",
"AuthorizedOfficialTelephoneNumber": "276-275-3062",
"Taxonomies": {
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"TaxonomyName": "Rehabilitation Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}