{
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"FirstLineMailingAddress": "10600 YORK ROAD, SUITE 105",
"SecondLineMailingAddress": "HEALTHPRO REHABILITATION",
"MailingAddressCityName": "COCKEYSVILLE",
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"FirstLinePracticeLocationAddress": "2131 O STREET",
"SecondLinePracticeLocationAddress": "BRINGTON WOODS AT DUPONT CIRCLE",
"PracticeLocationAddressCityName": "WASHINGTON",
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"EnumerationDate": "10/28/2015",
"LastUpdateDate": "12/07/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": "06/01/2016",
"NPIReactivationDate": "12/07/2017",
"GenderCode": "M",
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"Taxonomies": {
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}
},
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}
}