{
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"FirstLinePracticeLocationAddress": "25 WOODS LAKE RD STE 600",
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"PracticeLocationAddressCityName": "GREENVILLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "864-531-2612",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/08/2019",
"LastUpdateDate": "09/11/2023",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "7894",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}