{
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"FirstLineMailingAddress": "3060 KAGE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAPE GIRANDEAU",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "573-334-4904",
"FirstLinePracticeLocationAddress": "324 WILLIAM",
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"EnumerationDate": "11/30/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PRIGGE",
"AuthorizedOfficialFirstName": "BETTY",
"AuthorizedOfficialMiddleName": "JEAN",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Professional Counselor",
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"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}