{
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"FirstLineMailingAddress": "1580 W ANTELOPE DR",
"SecondLineMailingAddress": "SUITE #280",
"MailingAddressCityName": "LAYTON",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84041-1160",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-726-1388",
"MailingAddressFaxNumber": "801-773-8625",
"FirstLinePracticeLocationAddress": "1492 W ANTELOPE DR",
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"PracticeLocationAddressFaxNumber": "801-773-8625",
"EnumerationDate": "09/22/2010",
"LastUpdateDate": "12/15/2010",
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"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORRELL HUGHES",
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"AuthorizedOfficialTelephoneNumber": "801-726-1388",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "139412-3501",
"LicenseNumberStateCode": "UT",
"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."
}
}
}
}