{
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"EIN": null,
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"LastName": "BAYARD",
"FirstName": "GISELLE",
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"Credential": "LMFT",
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"FirstLineMailingAddress": "1113 NW 97TH DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CORAL SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33071-5961",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-778-0786",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10094 W MCNAB RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TAMARAC",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33321-1895",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-778-0786",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/23/2019",
"LastUpdateDate": "04/23/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MT3202",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}