{
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"FirstLineMailingAddress": "671 VISTA CT",
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"FirstLinePracticeLocationAddress": "530 KINGS COUNTY DR STE 104",
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"PracticeLocationAddressCityName": "HANFORD",
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"PracticeLocationAddressTelephoneNumber": "559-754-3128",
"PracticeLocationAddressFaxNumber": "559-537-7519",
"EnumerationDate": "08/15/2022",
"LastUpdateDate": "01/24/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "140472",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}