{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "PAUL F. DORIN, PH.D. MARRIAGE FAMILY AND CHILD THERAPIST, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"NameSuffix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "24520 HAWTHORNE BLVD STE 220",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TORRANCE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90505-6848",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-375-9707",
"MailingAddressFaxNumber": "310-375-0343",
"FirstLinePracticeLocationAddress": "24520 HAWTHORNE BLVD STE 220",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TORRANCE",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-375-9707",
"PracticeLocationAddressFaxNumber": "310-375-0343",
"EnumerationDate": "04/30/2026",
"LastUpdateDate": "04/30/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DORIN",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": "FOSDYKE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PH.D., MFT",
"AuthorizedOfficialTelephoneNumber": "310-766-7202",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}