{
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"FirstLineMailingAddress": "40 E MINARETS AVE",
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"MailingAddressCityName": "PINEDALE",
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"FirstLinePracticeLocationAddress": "380 COALINGA PLZ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-935-7191",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/04/2007",
"LastUpdateDate": "05/17/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "125442",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}