{
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"FirstLineMailingAddress": "516 CENTER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VENICE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34285-4803",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-375-5222",
"MailingAddressFaxNumber": "941-460-5109",
"FirstLinePracticeLocationAddress": "230 TAMIAMI TRL S",
"SecondLinePracticeLocationAddress": "SUITE 3",
"PracticeLocationAddressCityName": "VENICE",
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"PracticeLocationAddressTelephoneNumber": "941-375-5222",
"PracticeLocationAddressFaxNumber": "941-460-5109",
"EnumerationDate": "10/10/2009",
"LastUpdateDate": "12/28/2010",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NUTTER",
"AuthorizedOfficialFirstName": "KENNETH",
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"AuthorizedOfficialCredential": "PHD, LMHC",
"AuthorizedOfficialTelephoneNumber": "941-375-5222",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
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"LicenseNumberStateCode": "FL",
"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."
}
}
}
}