{
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"FirstLineMailingAddress": "2443 FAIR OAKS BLVD #543",
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"FirstLinePracticeLocationAddress": "2443 FAIR OAKS BLVD #543",
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"EnumerationDate": "10/13/2014",
"LastUpdateDate": "09/29/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCFALL",
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"Taxonomies": {
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"TaxonomyName": "Early Intervention Provider Agency",
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}
},
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}
}