{
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"FirstLineMailingAddress": "9414 RIDGETOP BLVD NW",
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"MailingAddressFaxNumber": "360-308-0195",
"FirstLinePracticeLocationAddress": "9414 RIDGETOP BLVD NW",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-308-0250",
"PracticeLocationAddressFaxNumber": "360-308-0195",
"EnumerationDate": "06/17/2011",
"LastUpdateDate": "03/21/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}