{
"Npi": {
"NPI": "1124291042",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "HUIZINGA",
"FirstName": "ANGIE",
"MiddleName": "PATRICIA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMT LIC# MA38162",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9640 NW 7TH CIR APT 2023",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PLANTATION",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33324-4999",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-253-1381",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9640 NW 7TH CIR APT 2023",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PLANTATION",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33324-4999",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-253-1381",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/11/2008",
"LastUpdateDate": "04/11/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA38162",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}