{
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"EIN": null,
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"FirstLineMailingAddress": "1099 HILLROCK DR",
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"MailingAddressCityName": "SOUTH EUCLID",
"MailingAddressStateName": "OH",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-381-8110",
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"FirstLinePracticeLocationAddress": "9002 MENTOR AVE",
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"PracticeLocationAddressCityName": "MENTOR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-266-1901",
"PracticeLocationAddressFaxNumber": "440-266-1902",
"EnumerationDate": "09/21/2006",
"LastUpdateDate": "10/22/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}