{
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"OrgName": "DR. LESLIE DONNELLY AND ASSOCIATES, LLC",
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"FirstLineMailingAddress": "116 W MAIN ST",
"SecondLineMailingAddress": "SUITE 300",
"MailingAddressCityName": "SALISBURY",
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"MailingAddressPostalCode": "21801-4905",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-742-7160",
"MailingAddressFaxNumber": "410-546-1048",
"FirstLinePracticeLocationAddress": "116 W MAIN ST",
"SecondLinePracticeLocationAddress": "SUITE 300",
"PracticeLocationAddressCityName": "SALISBURY",
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"PracticeLocationAddressFaxNumber": "410-546-1048",
"EnumerationDate": "04/27/2015",
"LastUpdateDate": "04/27/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADKINS",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "410-742-7160",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "LCM534",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}