{
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"FirstLineMailingAddress": "PO BOX 211",
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"FirstLinePracticeLocationAddress": "1011 G ST STE 5",
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"PracticeLocationAddressTelephoneNumber": "559-551-1400",
"PracticeLocationAddressFaxNumber": "559-551-1414",
"EnumerationDate": "06/07/2021",
"LastUpdateDate": "05/27/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANDOVAL",
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"AuthorizedOfficialCredential": "LMFT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}