{
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"FirstLineMailingAddress": "9200 BONITA BEACH RD SE STE 213",
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"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "9200 BONITA BEACH RD SE STE 213",
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"EnumerationDate": "01/03/2018",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
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"Gender": null,
"AuthorizedOfficialLastName": "PEREZ",
"AuthorizedOfficialFirstName": "LEE TASHA",
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"AuthorizedOfficialCredential": "DOM, AP, LMT",
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"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
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}
},
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}
}
}
}