{
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "5044 EAGLE ROCK BLVD. #6",
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"PracticeLocationAddressTelephoneNumber": "818-209-6361",
"PracticeLocationAddressFaxNumber": "328-967-2872",
"EnumerationDate": "04/04/2007",
"LastUpdateDate": "09/25/2019",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
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"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}