{
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"OrgName": "ELICIA K LOWITZ, PA",
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"FirstLineMailingAddress": "12555 ORANGE DR",
"SecondLineMailingAddress": "SUITE 265",
"MailingAddressCityName": "DAVIE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33330-4304",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-243-3324",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12555 ORANGE DR",
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"EnumerationDate": "01/15/2017",
"LastUpdateDate": "01/15/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "LOWITZ",
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"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER / THERAPIST",
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"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "954-862-1427",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "MH003315",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}