{
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"FirstLineMailingAddress": "PO BOX 311",
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"MailingAddressCityName": "LOUGHMAN",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "11000 VICTORIA PARK LN APT 11210",
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"PracticeLocationAddressCityName": "DAVENPORT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-336-1200",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/26/2018",
"LastUpdateDate": "05/18/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MT4465",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}