{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "MARK R. JONES, LCSW, LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 53",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MURRYSVILLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15668-0053",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "412-244-0960",
"MailingAddressFaxNumber": "800-811-0983",
"FirstLinePracticeLocationAddress": "700 S TRENTON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PITTSBURGH",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15221-3477",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "412-244-0960",
"PracticeLocationAddressFaxNumber": "800-811-0983",
"EnumerationDate": "07/31/2008",
"LastUpdateDate": "07/31/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES",
"AuthorizedOfficialFirstName": "MARK",
"AuthorizedOfficialMiddleName": "R.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": "ACSW, LSCW",
"AuthorizedOfficialTelephoneNumber": "412-244-0960",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "CW001690L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}