{
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"FirstLineMailingAddress": "PO BOX 113",
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"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48139-0113",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "710 E. GRAND RIVER AVE",
"SecondLinePracticeLocationAddress": "SUITE 2",
"PracticeLocationAddressCityName": "BRIGHTON",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/12/2014",
"LastUpdateDate": "05/12/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CORRIGAN",
"AuthorizedOfficialFirstName": "MICHAEL",
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"AuthorizedOfficialCredential": "LMSW, ACSW",
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"Taxonomies": {
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"TaxonomyName": "Community/Behavioral Health Agency",
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}
},
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}
}