{
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"FirstLineMailingAddress": "PO BOX 954",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 SAINT FRANCIS AVE",
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"EnumerationDate": "12/14/2015",
"LastUpdateDate": "12/14/2015",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HUMMEL-SASS",
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"AuthorizedOfficialCredential": "PSY.D.",
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"Taxonomies": {
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}
},
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}
}