{
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"OrgName": "CLEARSKY COUNSELING LLC",
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"FirstLineMailingAddress": "1505 N PONDEROSA ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CANBY",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97013-2580",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-515-9391",
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"FirstLinePracticeLocationAddress": "14511 WESTLAKE DR STE 102",
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"PracticeLocationAddressCityName": "LAKE OSWEGO",
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"EnumerationDate": "07/02/2011",
"LastUpdateDate": "02/15/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARBER",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "WILLIAM",
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"AuthorizedOfficialCredential": "LCSW",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}