{
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"FirstLineMailingAddress": "10752 N 89TH PL",
"SecondLineMailingAddress": "SUITE 113",
"MailingAddressCityName": "SCOTTSDALE",
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"MailingAddressPostalCode": "85260-6730",
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"MailingAddressFaxNumber": "480-860-2522",
"FirstLinePracticeLocationAddress": "10752 N 89TH PL",
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"PracticeLocationAddressFaxNumber": "480-860-2522",
"EnumerationDate": "09/02/2005",
"LastUpdateDate": "03/06/2008",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOUSE",
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"AuthorizedOfficialCredential": "LCSW",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
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"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}