{
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"FirstLineMailingAddress": "PO BOX 60",
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"MailingAddressCityName": "APPLE SPRINGS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75926-0060",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "911 E LUFKIN AVE",
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"EnumerationDate": "03/26/2014",
"LastUpdateDate": "02/28/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALKER",
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"AuthorizedOfficialMiddleName": null,
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"AuthorizedOfficialCredential": "LPC-S",
"AuthorizedOfficialTelephoneNumber": "936-414-5108",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Professional Counselor",
"LicenseNumber": "65416",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}