{
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"EIN": null,
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"OtherLastName": "SURACE",
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"FirstLineMailingAddress": "PO. BOX 215",
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"MailingAddressCityName": "SAN LUIS REY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92068",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-401-0151",
"MailingAddressFaxNumber": "760-366-0529",
"FirstLinePracticeLocationAddress": "121 S PALM CANYON DR STE 217",
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"PracticeLocationAddressCityName": "PALM SPRINGS",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "442-266-7532",
"PracticeLocationAddressFaxNumber": "760-366-0529",
"EnumerationDate": "10/29/2007",
"LastUpdateDate": "03/06/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "52281",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}