{
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"FirstLineMailingAddress": "7201 CUTTER MILL DR",
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"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "17304 PRESTON RD",
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"EnumerationDate": "12/30/2009",
"LastUpdateDate": "07/15/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SIMON",
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"AuthorizedOfficialCredential": "LPC",
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"Taxonomies": {
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"TaxonomyName": "Professional Counselor",
"LicenseNumber": "14751",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}