{
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"IsOrgSubpart": "N",
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"OrgName": "ALLAY INTEGRATIVE MASSAGE THERAPY CENTER LLC",
"LastName": null,
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"FirstLineMailingAddress": "2543 ROSS CLARK CIR",
"SecondLineMailingAddress": "SUITE #4",
"MailingAddressCityName": "DOTHAN",
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"MailingAddressPostalCode": "36301-4925",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "334-701-9332",
"MailingAddressFaxNumber": "334-699-1308",
"FirstLinePracticeLocationAddress": "2543 ROSS CLARK CIR",
"SecondLinePracticeLocationAddress": "SUITE #4",
"PracticeLocationAddressCityName": "DOTHAN",
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"PracticeLocationAddressTelephoneNumber": "334-701-9332",
"PracticeLocationAddressFaxNumber": "334-699-1308",
"EnumerationDate": "10/30/2014",
"LastUpdateDate": "10/30/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COOPER",
"AuthorizedOfficialFirstName": "JANA",
"AuthorizedOfficialMiddleName": "NADINE",
"AuthorizedOfficialTitle": "OWNER/LMT",
"AuthorizedOfficialNamePrefix": "MRS.",
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"AuthorizedOfficialCredential": "LMT",
"AuthorizedOfficialTelephoneNumber": "334-701-9332",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "2235",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}