{
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"FirstLineMailingAddress": "PO BOX 711",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "580-622-6350",
"FirstLinePracticeLocationAddress": "1001 W 1ST ST",
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"PracticeLocationAddressCityName": "SULPHUR",
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"EnumerationDate": "08/13/2021",
"LastUpdateDate": "08/13/2021",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PITMON",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}