{
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"FirstLineMailingAddress": "1309 114TH AVE SE",
"SecondLineMailingAddress": "SUITE 210",
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"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98004-6903",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "425-637-1150",
"FirstLinePracticeLocationAddress": "1309 114TH AVE SE",
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"PracticeLocationAddressTelephoneNumber": "425-688-8585",
"PracticeLocationAddressFaxNumber": "425-637-1150",
"EnumerationDate": "04/24/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZBOYAN",
"AuthorizedOfficialFirstName": "SANDRA",
"AuthorizedOfficialMiddleName": "C.",
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"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "L.M.F.T.",
"AuthorizedOfficialTelephoneNumber": "425-688-8585",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "LF00001096",
"LicenseNumberStateCode": "WA",
"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."
}
}
}
}