{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "INNOVATIVE INVESTORS HOLDINGS CORP",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "9000 SHERIDAN ST",
"SecondLineMailingAddress": "SUITE 11",
"MailingAddressCityName": "PEMBROKE PINES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33024-8802",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-862-7012",
"MailingAddressFaxNumber": "954-449-0294",
"FirstLinePracticeLocationAddress": "15246 SW 21ST PL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIRAMAR",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33027-4384",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-862-7012",
"PracticeLocationAddressFaxNumber": "954-449-0294",
"EnumerationDate": "02/12/2013",
"LastUpdateDate": "02/12/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARCIA",
"AuthorizedOfficialFirstName": "MARIAN",
"AuthorizedOfficialMiddleName": "JEANETTE",
"AuthorizedOfficialTitle": "CO-FOUNDER / DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.S., LMFT",
"AuthorizedOfficialTelephoneNumber": "305-519-4741",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MT2692",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}