{
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"FirstLineMailingAddress": "127 LOGAN AVE S # A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RENTON",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98057-2020",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-275-4870",
"MailingAddressFaxNumber": "206-275-4876",
"FirstLinePracticeLocationAddress": "7605 SE 27TH ST",
"SecondLinePracticeLocationAddress": "SUITE 103",
"PracticeLocationAddressCityName": "MERCER ISLAND",
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"PracticeLocationAddressTelephoneNumber": "206-275-4870",
"PracticeLocationAddressFaxNumber": "206-275-4876",
"EnumerationDate": "01/05/2012",
"LastUpdateDate": "01/05/2012",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA60255418",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}