{
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"FirstLineMailingAddress": "6405 CAMDEN RD STE 109",
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"MailingAddressCityName": "FAYETTEVILLE",
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"MailingAddressFaxNumber": "910-425-0013",
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"PracticeLocationAddressFaxNumber": "910-425-0013",
"EnumerationDate": "08/24/2018",
"LastUpdateDate": "04/24/2020",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUGHES",
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"AuthorizedOfficialCredential": "LCMHC, PSYD",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}