{
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"OtherCredential": "LMSW",
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"FirstLineMailingAddress": "8155 NEW MEXICO 206",
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"MailingAddressCityName": "PORTALES",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "501 S ABILENE AVE",
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"PracticeLocationAddressTelephoneNumber": "505-359-3707",
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"EnumerationDate": "01/19/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "School Social Worker",
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"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}