{
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"OrgName": "HEATHER PARENTI, LICENSED CLINICAL SOCIAL WORKE, I",
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"FirstLineMailingAddress": "27710 JEFFERSON AVE",
"SecondLineMailingAddress": "205",
"MailingAddressCityName": "TEMECULA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92590-4604",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-805-4025",
"MailingAddressFaxNumber": "951-380-8487",
"FirstLinePracticeLocationAddress": "27710 JEFFERSON AVE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "951-805-4025",
"PracticeLocationAddressFaxNumber": "951-380-8487",
"EnumerationDate": "03/30/2017",
"LastUpdateDate": "03/30/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARENTI",
"AuthorizedOfficialFirstName": "HEATHER",
"AuthorizedOfficialMiddleName": "LOUISE",
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"AuthorizedOfficialCredential": "L.C.S.W.",
"AuthorizedOfficialTelephoneNumber": "951-805-4025",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "LCS19194",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}