{
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"OrgName": "INTOUCH MASSAGE LLC",
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"FirstLineMailingAddress": "8120 SW PETERS RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORTLAND",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97224-7622",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-639-6963",
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"FirstLinePracticeLocationAddress": "15962 BOONES FERRY RD STE 209",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE OSWEGO",
"PracticeLocationAddressStateName": "OR",
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"EnumerationDate": "01/02/2013",
"LastUpdateDate": "01/02/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VOLM",
"AuthorizedOfficialFirstName": "LAURIE",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "MASSAGE THERAPIST",
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"AuthorizedOfficialCredential": "LMT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Specialist",
"LicenseNumber": "18940",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}