{
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"FirstLineMailingAddress": "3914 ARKANSAS DR",
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"FirstLinePracticeLocationAddress": "806 7TH ST UNIT U2",
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"EnumerationDate": "07/02/2019",
"LastUpdateDate": "07/02/2019",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "DINGES",
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"AuthorizedOfficialCredential": "LCSW",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}