{
"Npi": {
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"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "HOWARD",
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": "SOURATHA-HOWARD",
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"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MASSAGE THERAPIST",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "PO BOX 11072",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARINA DEL REY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90295-7072",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-849-7799",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2905 STANFORD AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MARINA DEL REY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90292-5524",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-849-7799",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/06/2023",
"LastUpdateDate": "09/06/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
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"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "55758",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}