{
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"FirstLineMailingAddress": "207 E VIRGINIA ST",
"SecondLineMailingAddress": "SUITE 214",
"MailingAddressCityName": "MCKINNEY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75069-4363",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-566-1390",
"MailingAddressFaxNumber": "972-353-6434",
"FirstLinePracticeLocationAddress": "207 E VIRGINIA ST",
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"PracticeLocationAddressFaxNumber": "972-353-6434",
"EnumerationDate": "02/09/2011",
"LastUpdateDate": "02/09/2011",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUINTU",
"AuthorizedOfficialFirstName": "DIANA",
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"AuthorizedOfficialCredential": "M. ED",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Professional Counselor",
"LicenseNumber": "19612",
"LicenseNumberStateCode": "TX",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}