{
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"EIN": null,
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"FirstLineMailingAddress": "PO BOX 2102",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FREMONT",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-505-9858",
"MailingAddressFaxNumber": "510-505-9858",
"FirstLinePracticeLocationAddress": "39111 PASEO PADRE PARKWAY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-505-9858",
"PracticeLocationAddressFaxNumber": "510-505-9858",
"EnumerationDate": "07/18/2007",
"LastUpdateDate": "01/04/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC 42395",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}