{
"Npi": {
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"EIN": null,
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"OrgName": null,
"LastName": "BROADLICK",
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"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
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"OtherLastName": "BARR",
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"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5150 E PACIFIC COAST HWY",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "LONG BEACH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90804-3312",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "562-490-7600",
"MailingAddressFaxNumber": "562-490-7601",
"FirstLinePracticeLocationAddress": "5150 E PACIFIC COAST HWY",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "LONG BEACH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "562-490-7600",
"PracticeLocationAddressFaxNumber": "562-490-7601",
"EnumerationDate": "09/27/2006",
"LastUpdateDate": "11/08/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "LMFT96402",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}