{
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"MailingAddressCityName": "REDFORD",
"MailingAddressStateName": "MI",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "19500 MIDDLEBELT RD # 103W",
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"PracticeLocationAddressCityName": "LIVONIA",
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"EnumerationDate": "02/25/2026",
"LastUpdateDate": "02/25/2026",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "7501015823",
"LicenseNumberStateCode": "MI",
"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."
}
}
}
}