{
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"EIN": null,
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"NamePrefix": "MR.",
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"Credential": "L.M.T, L.M.T.I",
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"FirstLineMailingAddress": "14714 TAYMOUTH DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77084-1561",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-387-3363",
"MailingAddressFaxNumber": "281-855-0710",
"FirstLinePracticeLocationAddress": "16125 CAIRNWAY DR",
"SecondLinePracticeLocationAddress": "SUITE#110",
"PracticeLocationAddressCityName": "HOUSTON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "281-855-2273",
"PracticeLocationAddressFaxNumber": "281-855-0710",
"EnumerationDate": "04/12/2015",
"LastUpdateDate": "04/12/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MT119922",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}