{
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"FirstLineMailingAddress": "13911 RIDGEDALE DR",
"SecondLineMailingAddress": "SUITE 330",
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"FirstLinePracticeLocationAddress": "13911 RIDGEDALE DR",
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"EnumerationDate": "06/16/2010",
"LastUpdateDate": "06/16/2010",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "ANDERS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}