{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "THE MENNINGER CLINIC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "2408 YORKTOWN ST",
"SecondLineMailingAddress": "APT. 234",
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77056-4573",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12301 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOUSTON",
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"PracticeLocationAddressPostalCode": "77035-6207",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-275-5000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/19/2016",
"LastUpdateDate": "10/19/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AZZAM",
"AuthorizedOfficialFirstName": "CZARINA",
"AuthorizedOfficialMiddleName": "V",
"AuthorizedOfficialTitle": "STAFF THERAPIST INTERN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "832-881-8990",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "283Q00000X",
"TaxonomyName": "Psychiatric Hospital",
"LicenseNumber": "76606",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}