{
"Npi": {
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"EIN": null,
"IsSoleProprietor": "Y",
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"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "MARTIN",
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"NamePrefix": "MRS.",
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"Credential": "MFT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "COOPER",
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"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2111 S EL CAMINO REAL STE 300",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OCEANSIDE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92054-9000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-717-9405",
"MailingAddressFaxNumber": "408-419-1852",
"FirstLinePracticeLocationAddress": "2424 WEST VISTA WAY,",
"SecondLinePracticeLocationAddress": "SUITE 105",
"PracticeLocationAddressCityName": "OCEANSIDE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92054",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-716-3268",
"PracticeLocationAddressFaxNumber": "760-439-1124",
"EnumerationDate": "04/07/2010",
"LastUpdateDate": "08/08/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "48304",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}