{
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"FirstLineMailingAddress": "28816 CONEJO VIEW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AGOURA HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91301-3367",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-889-0091",
"MailingAddressFaxNumber": "818-532-7919",
"FirstLinePracticeLocationAddress": "1783 TEMPLE AVE",
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"PracticeLocationAddressCityName": "CAMARILLO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-388-1035",
"PracticeLocationAddressFaxNumber": "805-388-1062",
"EnumerationDate": "07/17/2016",
"LastUpdateDate": "09/27/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCREE",
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"AuthorizedOfficialTelephoneNumber": "818-469-6029",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Emotionally Disturbed Childrens' Residential Treatment Facility",
"LicenseNumber": "565801695",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}