{
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"OtherCredential": "RHONDA LANE",
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"MailingAddressCityName": "MENIFEE",
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"FirstLinePracticeLocationAddress": "28115 BRADLEY RD STE 1",
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"PracticeLocationAddressCityName": "MENIFEE",
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"PracticeLocationAddressTelephoneNumber": "951-392-4513",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/14/2020",
"LastUpdateDate": "02/12/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "81960",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}