{
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"NamePrefix": null,
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"FirstLineMailingAddress": "100 S JEFFERSON AVE STE 104",
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"MailingAddressCityName": "SAGINAW",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "989-752-6319",
"MailingAddressFaxNumber": "989-752-0895",
"FirstLinePracticeLocationAddress": "100 S JEFFERSON AVE STE 104",
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"PracticeLocationAddressTelephoneNumber": "989-752-6319",
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"EnumerationDate": "03/02/2018",
"LastUpdateDate": "06/16/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CONIC",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "PH.D.",
"AuthorizedOfficialTelephoneNumber": "989-245-4131",
"Taxonomies": {
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"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "6401003666",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}