{
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"FirstLineMailingAddress": "6120 EARLE BROWN DR STE 210",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROOKLYN CENTER",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55430-4107",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "763-560-0900",
"MailingAddressFaxNumber": "763-560-1288",
"FirstLinePracticeLocationAddress": "6120 EARLE BROWN DR STE 210",
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"PracticeLocationAddressCityName": "BROOKLYN CENTER",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "763-560-0900",
"PracticeLocationAddressFaxNumber": "763-560-1288",
"EnumerationDate": "01/19/2007",
"LastUpdateDate": "06/06/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALES",
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"AuthorizedOfficialTelephoneNumber": "763-560-0900",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}