{
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"FirstLineMailingAddress": "1591 W. CENTRE AVENUE",
"SecondLineMailingAddress": "SUITE 103",
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"MailingAddressStateName": "MI",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1591 W CENTRE AVE",
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"EnumerationDate": "02/25/2016",
"LastUpdateDate": "03/08/2016",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEBB",
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"AuthorizedOfficialTelephoneNumber": "269-303-3835",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}