{
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"FirstLineMailingAddress": "4584 SW 113TH AVENUE BLDG 7 APT 312",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEMBROKE PINES",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2425 E COMMERCIAL BLVD STE 400",
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"PracticeLocationAddressCityName": "FORT LAUDERDALE",
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"EnumerationDate": "02/26/2016",
"LastUpdateDate": "02/26/2016",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GREEN",
"AuthorizedOfficialFirstName": "WYNETTE",
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"AuthorizedOfficialCredential": "LMFT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
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"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}