{
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"FirstLineMailingAddress": "840 WILLARD DR",
"SecondLineMailingAddress": "SUITE 102",
"MailingAddressCityName": "GREEN BAY",
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"MailingAddressPostalCode": "54304-5204",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "920-497-0788",
"MailingAddressFaxNumber": "920-497-0792",
"FirstLinePracticeLocationAddress": "840 WILLARD DR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "920-497-0788",
"PracticeLocationAddressFaxNumber": "920-497-0792",
"EnumerationDate": "01/23/2007",
"LastUpdateDate": "01/09/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "1576-123",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}