{
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"OrgName": "THE CHILD & FAMILY THERAPY PLACE, INC",
"LastName": null,
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"FirstLineMailingAddress": "1522 CONSTITUTION BLVD",
"SecondLineMailingAddress": "#114",
"MailingAddressCityName": "SALINAS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93905-3803",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "831-272-2041",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9 W GABILAN ST",
"SecondLinePracticeLocationAddress": "SUITE 2",
"PracticeLocationAddressCityName": "SALINAS",
"PracticeLocationAddressStateName": "CA",
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"EnumerationDate": "04/13/2012",
"LastUpdateDate": "04/13/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUARDADO",
"AuthorizedOfficialFirstName": "SANDRA",
"AuthorizedOfficialMiddleName": "LIVIER",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MS.",
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"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "831-272-2041",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "51117",
"LicenseNumberStateCode": "CA",
"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."
}
}
}
}