{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "AFTON L ARNOLD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"FirstLineMailingAddress": "3007 ESTEPA DR",
"SecondLineMailingAddress": "UNIT E",
"MailingAddressCityName": "CAMERON PARK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95682-8186",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "530-748-7523",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "350 GREEN VALLEY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EL DORADO HILLS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95762-3927",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "530-933-4700",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/30/2015",
"LastUpdateDate": "07/30/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARNOLD",
"AuthorizedOfficialFirstName": "AFTON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CERTIFIED MASSAGE THERAPIST",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CMT",
"AuthorizedOfficialTelephoneNumber": "530-748-7523",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "63981",
"LicenseNumberStateCode": "CA",
"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."
}
}
}
}