{
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"EIN": null,
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"NamePrefix": "MRS.",
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"Credential": "M.T.",
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9745 N K92 HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MC LOUTH",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66054-4257",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-796-6652",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9745 N K92 HWY",
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"PracticeLocationAddressCityName": "MC LOUTH",
"PracticeLocationAddressStateName": "KS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-796-6652",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/27/2009",
"LastUpdateDate": "06/17/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "NONE",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}