{
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"FirstLinePracticeLocationAddress": "1401 WEST CARRIAGE DRIVE",
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"EnumerationDate": "10/22/2014",
"LastUpdateDate": "11/15/2024",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Marriage & Family Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}