{
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"FirstLineMailingAddress": "3330 N. GALLOWAY AVE.",
"SecondLineMailingAddress": "SUITE 304, BOX 17",
"MailingAddressCityName": "MESQUITE",
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"MailingAddressPostalCode": "75150-4728",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-390-3411",
"MailingAddressFaxNumber": "214-666-4208",
"FirstLinePracticeLocationAddress": "8344 E R L THORNTON FWY",
"SecondLinePracticeLocationAddress": "SUITE 410-B",
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"EnumerationDate": "03/20/2012",
"LastUpdateDate": "03/20/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ASHWORTH",
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"AuthorizedOfficialCredential": "PH.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Psychologist",
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}
},
"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."
}
}
}
}