{
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"FirstLineMailingAddress": "702 S HIGH POINT RD STE 105",
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"MailingAddressPostalCode": "53719-4926",
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"MailingAddressTelephoneNumber": "608-826-8011",
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"FirstLinePracticeLocationAddress": "615 E WASHINGTON AVE",
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"PracticeLocationAddressCityName": "MADISON",
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"EnumerationDate": "09/04/2018",
"LastUpdateDate": "12/06/2018",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "GREENWALD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}