{
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  "id": "id-.cOGjQ1SE9vGqdQ2XqKGw",
  "identifier": [
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      "system": "http://hl7.org/fhir/sid/us-npi",
      "value": "1962279141"
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  "active": true,
  "name": "Grace Venture Inc T/a Grace House",
  "telecom": [
    {
      "system": "phone",
      "value": "(240) 850-8046"
    }
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  "address": [
    {
      "line": [
        "16927-16929 Shinham Rd"
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      "city": "Hagerstown",
      "state": "MD",
      "postalCode": "21740",
      "country": "US"
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}