{
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"EIN": null,
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"NameSuffix": null,
"Credential": "MFT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LUTTRELL",
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"FirstLineMailingAddress": "5122 KATELLA AVE",
"SecondLineMailingAddress": "SUITE 305",
"MailingAddressCityName": "LOS ALAMITOS",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "562-596-2142",
"MailingAddressFaxNumber": "562-799-6657",
"FirstLinePracticeLocationAddress": "5122 KATELLA AVE",
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"PracticeLocationAddressCityName": "LOS ALAMITOS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "562-596-2142",
"PracticeLocationAddressFaxNumber": "562-799-6657",
"EnumerationDate": "04/12/2007",
"LastUpdateDate": "04/28/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "34452",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}