{
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"FirstLineMailingAddress": "43323 HOLLYBANK PL",
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"MailingAddressCityName": "SOUTH RIDING",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "20130 LAKEVIEW CENTER PLZ STE 400",
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"PracticeLocationAddressCityName": "ASHBURN",
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"PracticeLocationAddressTelephoneNumber": "703-868-7572",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/28/2019",
"LastUpdateDate": "08/26/2019",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GANDHI",
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"AuthorizedOfficialTelephoneNumber": "703-868-7572",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}