{
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"FirstLineMailingAddress": "150 WASHINGTON AVE",
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"MailingAddressCityName": "SANTA FE",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "87501-2073",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "150 WASHINGTON AVE",
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"PracticeLocationAddressTelephoneNumber": "508-733-6392",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/18/2016",
"LastUpdateDate": "03/18/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AUGUSTINE",
"AuthorizedOfficialFirstName": "MATOTOPA",
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"AuthorizedOfficialTitle": "BCBA/OWNER",
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"AuthorizedOfficialCredential": "M.S, BCBA",
"AuthorizedOfficialTelephoneNumber": "508-733-6392",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "1-10-7448",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}