{
"Npi": {
"NPI": "1265579908",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
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"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RICHARDSON",
"FirstName": "MARY",
"MiddleName": "ISABEL",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MFT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RICHARDSON",
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"OtherNamePrefix": "MS.",
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"OtherCredential": "MFT",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "30246 SHORELINE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MENIFEE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92584-8009",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-244-4822",
"MailingAddressFaxNumber": "951-679-8029",
"FirstLinePracticeLocationAddress": "30246 SHORELINE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MENIFEE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92584-8009",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "951-244-4822",
"PracticeLocationAddressFaxNumber": "951-679-8029",
"EnumerationDate": "01/31/2007",
"LastUpdateDate": "04/20/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC28051",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}