{
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"EIN": null,
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"FirstLineMailingAddress": "317 CINNAMON TEAL WAY",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95360-9543",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "209-862-9972",
"FirstLinePracticeLocationAddress": "317 CINNAMON TEAL WAY",
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"PracticeLocationAddressCityName": "NEWMAN",
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"PracticeLocationAddressTelephoneNumber": "408-930-8362",
"PracticeLocationAddressFaxNumber": "209-862-9972",
"EnumerationDate": "02/01/2011",
"LastUpdateDate": "02/01/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC38007",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}