{
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"FirstLineMailingAddress": "425 EAST HOLLYWOOD BOULEVARD",
"SecondLineMailingAddress": "BUILDING C , SUITE #5",
"MailingAddressCityName": "MARY ESTHER",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "850-301-3525",
"FirstLinePracticeLocationAddress": "425 EAST HOLLYWOOD BOULEVARD",
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"PracticeLocationAddressCityName": "MARY ESTHER",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-301-3525",
"PracticeLocationAddressFaxNumber": "850-301-3525",
"EnumerationDate": "06/19/2014",
"LastUpdateDate": "06/19/2014",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRECHETTE",
"AuthorizedOfficialFirstName": "KATHERINE",
"AuthorizedOfficialMiddleName": "IRENE",
"AuthorizedOfficialTitle": "OWNER/MANAGER",
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"AuthorizedOfficialCredential": "LMHC, LMFT",
"AuthorizedOfficialTelephoneNumber": "850-301-3525",
"Taxonomies": {
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{
"TaxonomyCode": "101YM0800X",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}