{
"Npi": {
"NPI": "1174721989",
"EntityType": "Individual",
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"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "MARTIN",
"FirstName": "SEAN",
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"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "LMP",
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12214 SE MILL PLAIN BLVD",
"SecondLineMailingAddress": "#101",
"MailingAddressCityName": "VANCOUVER",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98684",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-254-4040",
"MailingAddressFaxNumber": "360-253-7808",
"FirstLinePracticeLocationAddress": "12214 SE MILL PLAIN BLVD",
"SecondLinePracticeLocationAddress": "#101",
"PracticeLocationAddressCityName": "VANCOUVER",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98684",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-254-4040",
"PracticeLocationAddressFaxNumber": "360-253-7808",
"EnumerationDate": "07/03/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
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"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA00023853",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}