{
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"FirstLineMailingAddress": "938 MARCO PL",
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"FirstLinePracticeLocationAddress": "11600 WASHINGTON PL STE 201",
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"EnumerationDate": "11/22/2006",
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"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
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"TaxonomyName": "Marriage & Family Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}