{
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"FirstLineMailingAddress": "12 STRONG RD",
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"FirstLinePracticeLocationAddress": "12 STRONG RD",
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"EnumerationDate": "07/14/2021",
"LastUpdateDate": "08/26/2021",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "CARBARY",
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"AuthorizedOfficialCredential": "M.ED, LMHC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}