{
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"FirstLineMailingAddress": "105 SAINT MARY ST",
"SecondLineMailingAddress": "300",
"MailingAddressCityName": "ROCKWALL",
"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "903-456-5712",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "105 SAINT MARY ST",
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"EnumerationDate": "05/31/2016",
"LastUpdateDate": "05/31/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TINNEY",
"AuthorizedOfficialFirstName": "DWIGHT",
"AuthorizedOfficialMiddleName": "LEE",
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"AuthorizedOfficialCredential": "LMP, MMP, MFR, MAT",
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"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}