{
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"FirstLineMailingAddress": "46 STURGES WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PRINCETON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08540-5335",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-430-0450",
"MailingAddressFaxNumber": "609-430-0452",
"FirstLinePracticeLocationAddress": "145 WITHERSPOON ST",
"SecondLinePracticeLocationAddress": "SUITE C2",
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"EnumerationDate": "08/02/2016",
"LastUpdateDate": "08/02/2016",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SLOAN",
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"AuthorizedOfficialCredential": "LCSW",
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"Taxonomies": {
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"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "44SC05531900",
"LicenseNumberStateCode": "NJ",
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}
},
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}
}
}
}