{
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"OrgName": "MARIA C. SANTANA,LLC",
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"FirstLineMailingAddress": "3315 FRANCINE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DECATUR",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30033",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-428-6084",
"MailingAddressFaxNumber": "770-925-7873",
"FirstLinePracticeLocationAddress": "5440 LAWRENCEVILLE HWY",
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"PracticeLocationAddressCityName": "LILBURN",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-925-7898",
"PracticeLocationAddressFaxNumber": "770-925-7873",
"EnumerationDate": "01/27/2010",
"LastUpdateDate": "01/27/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANTANA",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": "CARMEN",
"AuthorizedOfficialTitle": "PSYCHOLOGIST",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "PHD",
"AuthorizedOfficialTelephoneNumber": "770-925-7898",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychologist",
"LicenseNumber": "PSY003121",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}