{
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"IsOrgSubpart": "N",
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"OrgName": "MELISSA MULLER",
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"FirstLineMailingAddress": "248 SOUTHPARK CIR E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ST AUGUSTINE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32086-5137",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-797-5680",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "248 SOUTHPARK CIR E",
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"PracticeLocationAddressCityName": "ST AUGUSTINE",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressTelephoneNumber": "904-797-5680",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/19/2015",
"LastUpdateDate": "11/19/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MULLER",
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"AuthorizedOfficialTelephoneNumber": "904-797-5680",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": "12080",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}