{
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"FirstLineMailingAddress": "5260 S TANAGER AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BATTLEFIELD",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65619-9222",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "417-818-7701",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5260 S TANAGER AVE",
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"PracticeLocationAddressCityName": "BATTLEFIELD",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/30/2013",
"LastUpdateDate": "01/30/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCFALL",
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"AuthorizedOfficialCredential": "LPC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychiatric Hospital",
"LicenseNumber": "20001009704",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}