{
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"FirstLineMailingAddress": "1730 E 63RD ST",
"SecondLineMailingAddress": "SUITE 300",
"MailingAddressCityName": "KANSAS CITY",
"MailingAddressStateName": "MO",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1730 E 63RD ST",
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"PracticeLocationAddressCityName": "KANSAS CITY",
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"EnumerationDate": "09/15/2020",
"LastUpdateDate": "09/15/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALL",
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"AuthorizedOfficialTitle": "DIRECTOR",
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"AuthorizedOfficialCredential": "CPSS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Peer Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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}
}
}
}