{
"Npi": {
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"EIN": null,
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"MiddleName": null,
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FORDHAM",
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"OtherNamePrefix": "MS.",
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"OtherCredential": "MFT-INTERN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 20482",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LONG BEACH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90801-3482",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-574-1857",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "901 N PACIFIC COAST HWY",
"SecondLinePracticeLocationAddress": "200A-204A",
"PracticeLocationAddressCityName": "REDONDO BEACH",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "702-574-1857",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/10/2009",
"LastUpdateDate": "03/14/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "65177",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}