{
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"FirstLineMailingAddress": "1316 E COLTON AVE",
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"FirstLinePracticeLocationAddress": "4160 TEMESCAL CANYON RD STE 309",
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"PracticeLocationAddressCityName": "CORONA",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/28/2022",
"LastUpdateDate": "11/28/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "127811",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}