{
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"EIN": null,
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"FirstLineMailingAddress": "56 STONEGATE SHORES DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOT SPRINGS NATIONAL PARK",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "71913-8896",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-949-8428",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "801 CENTRAL AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOT SPRINGS NATIONAL PARK",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "71901-5315",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "614-949-8428",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/11/2020",
"LastUpdateDate": "02/11/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "8823",
"LicenseNumberStateCode": "OH",
"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."
}
}
}
}