{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "HEALING HANDS THERAPEUTIC MASSAGE, LLC.",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1284",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPOTSYLVANIA",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22553-1284",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-898-9434",
"MailingAddressFaxNumber": "540-898-9411",
"FirstLinePracticeLocationAddress": "10411 COURT HOUSE ROAD",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "SPOTSYLVANIA",
"PracticeLocationAddressStateName": "VA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "540-898-9434",
"PracticeLocationAddressFaxNumber": "540-898-9411",
"EnumerationDate": "08/15/2007",
"LastUpdateDate": "08/15/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CUMMINGS-HESSE",
"AuthorizedOfficialFirstName": "AMY",
"AuthorizedOfficialMiddleName": "LEA",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCMT",
"AuthorizedOfficialTelephoneNumber": "540-898-9434",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "0019005103",
"LicenseNumberStateCode": "VA",
"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."
}
}
}
}