{
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"NamePrefix": null,
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"FirstLineMailingAddress": "4611 N VISTA RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPOKANE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "99212-1728",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-953-1121",
"MailingAddressFaxNumber": "509-928-5863",
"FirstLinePracticeLocationAddress": "4611 N VISTA RD",
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"PracticeLocationAddressCityName": "SPOKANE",
"PracticeLocationAddressStateName": "WA",
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"PracticeLocationAddressTelephoneNumber": "509-953-1121",
"PracticeLocationAddressFaxNumber": "509-928-5863",
"EnumerationDate": "03/27/2007",
"LastUpdateDate": "07/20/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YOUNG",
"AuthorizedOfficialFirstName": "DIANE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNERPRESIDENT",
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"AuthorizedOfficialCredential": "LMT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA00007613",
"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."
}
}
}
}