{
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"FirstLineMailingAddress": "1400 W MARKHAM ST",
"SecondLineMailingAddress": "STE. 308B-C",
"MailingAddressCityName": "LITTLE ROCK",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72201-1840",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-352-0276",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1400 W MARKHAM ST",
"SecondLinePracticeLocationAddress": "STE. 308B-C",
"PracticeLocationAddressCityName": "LITTLE ROCK",
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"PracticeLocationAddressTelephoneNumber": "501-352-0276",
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"EnumerationDate": "04/10/2012",
"LastUpdateDate": "04/10/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRANE",
"AuthorizedOfficialFirstName": "LINDSAY",
"AuthorizedOfficialMiddleName": "OLIVER",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "LPC",
"AuthorizedOfficialTelephoneNumber": "501-352-0276",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "P1102011",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}