{
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"FirstLineMailingAddress": "9100 LUNA DEL ORO RD NE",
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"MailingAddressStateName": "NM",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "505-797-3219",
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"PracticeLocationAddressFaxNumber": "505-797-3219",
"EnumerationDate": "05/12/2011",
"LastUpdateDate": "05/12/2011",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LOPEZ",
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"AuthorizedOfficialCredential": "MFCT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}