{
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"FirstLineMailingAddress": "7631 HIGHWAY 290 W APT 722",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AUSTIN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78736-3620",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "512-785-0055",
"MailingAddressFaxNumber": "512-243-6357",
"FirstLinePracticeLocationAddress": "2709 S LAMAR BLVD STE 112",
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"PracticeLocationAddressCityName": "AUSTIN",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressTelephoneNumber": "512-785-0055",
"PracticeLocationAddressFaxNumber": "512-243-6357",
"EnumerationDate": "10/09/2009",
"LastUpdateDate": "03/26/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ESTRELLO LPC",
"AuthorizedOfficialFirstName": "BRENDA",
"AuthorizedOfficialMiddleName": "MICHELE",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "61365",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}