{
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"FirstLineMailingAddress": "3300 GALLOWS RD",
"SecondLineMailingAddress": "TOWER LOBBY, FIRST LOBBY",
"MailingAddressCityName": "FALLS CHURCH",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22042-3307",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-776-2029",
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"FirstLinePracticeLocationAddress": "3300 GALLOWS RD",
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"PracticeLocationAddressCityName": "FALLS CHURCH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-776-2029",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/18/2006",
"LastUpdateDate": "08/25/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ERME-COX",
"AuthorizedOfficialFirstName": "BEVERLY",
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"AuthorizedOfficialTitle": "CONTOLLER/PRACTICE MANAGER",
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"AuthorizedOfficialCredential": "CPA",
"AuthorizedOfficialTelephoneNumber": "571-730-1128",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pharmacist",
"LicenseNumber": "0201004071",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}