{
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"FirstLineMailingAddress": "909 A SOUTH MAIN STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURLINGTON",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27215-5756",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "336-222-8522",
"MailingAddressFaxNumber": "336-222-8533",
"FirstLinePracticeLocationAddress": "814 BRADLEY ST",
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"PracticeLocationAddressCityName": "BURLINGTON",
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"EnumerationDate": "11/01/2007",
"LastUpdateDate": "11/01/2007",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES",
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"AuthorizedOfficialTelephoneNumber": "336-222-8522",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "322D00000X",
"TaxonomyName": "Emotionally Disturbed Childrens' Residential Treatment Facility",
"LicenseNumber": "MHL-001-121",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}