{
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"OrgName": "NAVAJO MINISTRIES",
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"FirstLineMailingAddress": "2103 W MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FARMINGTON",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "87401-3220",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "505-327-0264",
"MailingAddressFaxNumber": "505-325-9035",
"FirstLinePracticeLocationAddress": "2103 W MAIN ST",
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"PracticeLocationAddressCityName": "FARMINGTON",
"PracticeLocationAddressStateName": "NM",
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"PracticeLocationAddressFaxNumber": "505-325-9035",
"EnumerationDate": "10/24/2007",
"LastUpdateDate": "10/24/2007",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EUBANK",
"AuthorizedOfficialFirstName": "LINDA",
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"AuthorizedOfficialCredential": "LPCC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "0095591",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}