{
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"FirstLineMailingAddress": "P.O. BOX 260692",
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"FirstLinePracticeLocationAddress": "23480 PARK SORRENTO STE 209A",
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"PracticeLocationAddressFaxNumber": "888-971-3942",
"EnumerationDate": "03/13/2015",
"LastUpdateDate": "10/31/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "80619...............",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}