{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SOUTH SOUND HEALTH & FITNESS",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastName": null,
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"FirstLineMailingAddress": "2960 A LIMITED LN NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OLYMPIA",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98502",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-943-9570",
"MailingAddressFaxNumber": "360-754-4517",
"FirstLinePracticeLocationAddress": "2960 A LIMITED LN NW",
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"PracticeLocationAddressCityName": "OLYMPIA",
"PracticeLocationAddressStateName": "WA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-943-9570",
"PracticeLocationAddressFaxNumber": "360-754-4517",
"EnumerationDate": "02/20/2008",
"LastUpdateDate": "02/20/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PETERSON",
"AuthorizedOfficialFirstName": "JON",
"AuthorizedOfficialMiddleName": "T",
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"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": "DO",
"AuthorizedOfficialTelephoneNumber": "360-709-9500",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}