{
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"FirstLinePracticeLocationAddress": "239 GARRISONVILLE RD STE 101",
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"EnumerationDate": "04/04/2026",
"LastUpdateDate": "04/04/2026",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHUPASHKO",
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"AuthorizedOfficialCredential": "LMT, MMP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}