{
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"IsOrgSubpart": "N",
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"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "1217 42ND ST SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WASHINGTON",
"MailingAddressStateName": "DC",
"MailingAddressPostalCode": "20020-6034",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "202-830-8309",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1217 42ND ST SE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "202-830-8309",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/08/2015",
"LastUpdateDate": "09/08/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CANADY",
"AuthorizedOfficialFirstName": "LASHAUN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "HOME HEALTH AIDE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "202-830-8309",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HHA11451",
"LicenseNumberStateCode": "DC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}