{
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"EIN": null,
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"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MFT",
"OtherOrgName": null,
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"OtherLastName": "ARNOLD NELSON",
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"OtherCredential": "MFTI",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 3230",
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"MailingAddressCityName": "SAN LEANDRO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94578-0230",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-395-4814",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "401 GRAND AVE",
"SecondLinePracticeLocationAddress": "SUITE 380",
"PracticeLocationAddressCityName": "OAKLAND",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-395-4814",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/13/2006",
"LastUpdateDate": "03/16/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "43047",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}