{
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"FirstLineMailingAddress": "14160 NEWBROOK DR",
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"MailingAddressCityName": "CHANTILLY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-842-2333",
"MailingAddressFaxNumber": "703-842-2311",
"FirstLinePracticeLocationAddress": "807 NORTH JACKSON STREET",
"SecondLinePracticeLocationAddress": "CRI JACKSON STREET ICF",
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"EnumerationDate": "11/14/2006",
"LastUpdateDate": "01/09/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HURLEY",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Intellectual Disabilities Intermediate Care Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}