{
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"OtherCredential": "LMFT",
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"FirstLineMailingAddress": "5609 AUTUMN GROVE LN",
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"MailingAddressStateName": "TX",
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"FirstLinePracticeLocationAddress": "2400 AUGUSTA DR",
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"PracticeLocationAddressTelephoneNumber": "713-785-7575",
"PracticeLocationAddressFaxNumber": "888-979-9976",
"EnumerationDate": "11/01/2013",
"LastUpdateDate": "11/01/2013",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "201197",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}