{
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"EIN": null,
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"NamePrefix": "DR.",
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"FirstLineMailingAddress": "1320 19TH ST NW",
"SecondLineMailingAddress": "SUITE 200",
"MailingAddressCityName": "WASHINGTON",
"MailingAddressStateName": "DC",
"MailingAddressPostalCode": "20036-1610",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "202-417-2897",
"MailingAddressFaxNumber": "202-629-1949",
"FirstLinePracticeLocationAddress": "1320 19TH ST NW",
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"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "202-417-2897",
"PracticeLocationAddressFaxNumber": "202-629-1949",
"EnumerationDate": "03/04/2016",
"LastUpdateDate": "03/04/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "LMFT000201",
"LicenseNumberStateCode": "DC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}