{
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"IsOrgSubpart": "N",
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"LastName": null,
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"FirstLineMailingAddress": "1403 HUNTER RIDGE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FRESNO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77545-7532",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-848-1150",
"MailingAddressFaxNumber": "281-957-5666",
"FirstLinePracticeLocationAddress": "1403 HUNTER RIDGE CT",
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"PracticeLocationAddressCityName": "FRESNO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "832-848-1150",
"PracticeLocationAddressFaxNumber": "281-957-5666",
"EnumerationDate": "04/24/2015",
"LastUpdateDate": "04/24/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ABUACHI",
"AuthorizedOfficialFirstName": "MAUREEN",
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"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PSYCH TECH",
"AuthorizedOfficialTelephoneNumber": "832-353-5938",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320600000X",
"TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}