{
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"EIN": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": "MFT",
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"OtherLastName": "SPENCER",
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"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "7632 N SILVER RANCH RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EAGLE MOUNTAIN",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84005-5858",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "18-792-2012",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3280 W 3500 S STE E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST VALLEY CITY",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84119-2668",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-979-1351",
"PracticeLocationAddressFaxNumber": "801-905-1161",
"EnumerationDate": "04/13/2012",
"LastUpdateDate": "02/05/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "6991351-3503",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}