{
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"EIN": null,
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"FirstLineMailingAddress": "1900 SILVER LAKE RD NW",
"SecondLineMailingAddress": "SUITE 110",
"MailingAddressCityName": "NEW BRIGHTON",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "11010 PRAIRE LAKES DRIVE, SUITE 250",
"SecondLinePracticeLocationAddress": "PRAIRIE LAKES CORPORATE CENTER II",
"PracticeLocationAddressCityName": "EDEN PRAIRIE",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/23/2008",
"LastUpdateDate": "05/11/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}