{
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"FirstLineMailingAddress": "481A KINGSTOWN RD",
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"MailingAddressStateName": "RI",
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"MailingAddressFaxNumber": "401-782-1669",
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"PracticeLocationAddressFaxNumber": "104-782-1669",
"EnumerationDate": "08/07/2008",
"LastUpdateDate": "08/07/2008",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIBBES",
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"AuthorizedOfficialMiddleName": "ST. CYR LINARD",
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"AuthorizedOfficialCredential": "PH.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychologist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}