{
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"FirstLineMailingAddress": "3000 WHITNEY AVE # 128",
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"MailingAddressCityName": "HAMDEN",
"MailingAddressStateName": "CT",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "60 CONNOLLY PKWY",
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"EnumerationDate": "07/15/2015",
"LastUpdateDate": "07/15/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THOMAS",
"AuthorizedOfficialFirstName": "ANTOINETTE",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "LPC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Professional Counselor",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}