{
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"IsOrgSubpart": "N",
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"OrgName": "NUEVA VIDA COUNSELING AND CONSULTING SERVICES LLC",
"LastName": null,
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"FirstLineMailingAddress": "NUEVA VIDA COUNSELING & CONSULTING SERVICES LLC",
"SecondLineMailingAddress": "1920 7TH STREET",
"MailingAddressCityName": "LAS VEGAS",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "87701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "505-429-0905",
"MailingAddressFaxNumber": "505-425-2913",
"FirstLinePracticeLocationAddress": "NUEVA VIDA COUNSELING & CONSULTING SERVICES LLC",
"SecondLinePracticeLocationAddress": "1920 7TH STREET",
"PracticeLocationAddressCityName": "LAS VEGAS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "505-429-0905",
"PracticeLocationAddressFaxNumber": "505-425-2913",
"EnumerationDate": "06/08/2018",
"LastUpdateDate": "05/28/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TOURANGEAU",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "MICHAEL",
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"AuthorizedOfficialCredential": "LADAC, LCSW, PHD",
"AuthorizedOfficialTelephoneNumber": "505-429-0905",
"Taxonomies": {
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"TaxonomyName": "Community/Behavioral Health Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}