{
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"EIN": null,
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"FirstLineMailingAddress": "2621 NE 52ND ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIGHTHOUSE POINT",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-829-5080",
"MailingAddressFaxNumber": "954-571-7734",
"FirstLinePracticeLocationAddress": "7880 N UNIVERSITY DR",
"SecondLinePracticeLocationAddress": "SUITE 202",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-829-5080",
"PracticeLocationAddressFaxNumber": "954-571-7734",
"EnumerationDate": "06/30/2008",
"LastUpdateDate": "06/30/2008",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MT 1940",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}