{
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  "enumeration_type": "NPI-2",
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    "authorized_official_first_name": "TEMITOPE",
    "authorized_official_last_name": "OYEGBILE",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
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    "authorized_official_title_or_position": "CEO/Officer",
    "certification_date": "2022-10-26",
    "enumeration_date": "2015-10-02",
    "last_updated": "2022-10-26",
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    "organizational_subpart": "NO",
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      "address_1": "8000 WESTPARK DR STE 140",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TYSONS CORNER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "703-404-2703",
      "postal_code": "221023197",
      "state": "VA",
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    },
    {
      "address_1": "8000 WESTPARK DR STE 140",
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      "country_code": "US",
      "country_name": "United States",
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      "state": "VA",
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      "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
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      "state": "DC",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
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      "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
      "license": "0101256049",
      "primary": false,
      "state": "VA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
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      "license": "0101250149",
      "primary": false,
      "state": "DC",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2084P0800X",
      "desc": "Psychiatry & Neurology, Psychiatry",
      "license": "0101256049",
      "primary": true,
      "state": "VA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)",
    "certifying_board": "American Board of Psychiatry and Neurology (ABPN)",
    "cms_medicare_crosswalk": [
      {
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}