{
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"FirstLineMailingAddress": "400 PENN CENTER BLVD",
"SecondLineMailingAddress": "SUITE 312",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "400 PENN CENTER BLVD",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/02/2016",
"LastUpdateDate": "11/02/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PIERSAINT",
"AuthorizedOfficialFirstName": "TAMARE",
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"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "PSY.D., CRC, LPC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Professional Counselor",
"LicenseNumber": "PC008312",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}