{
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"IsOrgSubpart": "N",
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"OrgName": "WAYPOINT PEDIATRIC THERAPIES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"FirstLineMailingAddress": "22526 SE 64TH PL",
"SecondLineMailingAddress": "SUITE 140",
"MailingAddressCityName": "ISSAQUAH",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98027-5368",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-830-0028",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "22526 SE 64TH PL",
"SecondLinePracticeLocationAddress": "SUITE 140",
"PracticeLocationAddressCityName": "ISSAQUAH",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98027-5368",
"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/27/2012",
"LastUpdateDate": "10/14/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YOCUM",
"AuthorizedOfficialFirstName": "ALLISON",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "OWNER, PEDIATRIC PHYSICAL THERAPIST",
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"AuthorizedOfficialCredential": "PT, DSC, PCS",
"AuthorizedOfficialTelephoneNumber": "425-830-0028",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
"LicenseNumber": "00008228",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}