{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "KAIROS COUNSELING CENTER",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "71 N LIVERNOIS RD",
"SecondLineMailingAddress": "SUITE F",
"MailingAddressCityName": "ROCHESTER HILLS",
"MailingAddressStateName": "MI",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-884-0224",
"MailingAddressFaxNumber": "248-651-0450",
"FirstLinePracticeLocationAddress": "71 N LIVERNOIS RD",
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"PracticeLocationAddressCityName": "ROCHESTER HILLS",
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"PracticeLocationAddressTelephoneNumber": "248-884-0224",
"PracticeLocationAddressFaxNumber": "248-651-0450",
"EnumerationDate": "03/18/2011",
"LastUpdateDate": "03/18/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TALBOT",
"AuthorizedOfficialFirstName": "ELIZABETH",
"AuthorizedOfficialMiddleName": "ANNE",
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"AuthorizedOfficialCredential": "L.M.S.W.",
"AuthorizedOfficialTelephoneNumber": "248-884-0224",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "6801079628",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}