{
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"IsOrgSubpart": "N",
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"OrgName": "B3 PHYSICAL THERAPY AND WELLNESS, PLLC",
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"MiddleName": null,
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"FirstLineMailingAddress": "14510 49TH DR SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EVERETT",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98208-8975",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-445-5698",
"MailingAddressFaxNumber": "425-553-0771",
"FirstLinePracticeLocationAddress": "14510 49TH DR SE",
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"PracticeLocationAddressCityName": "EVERETT",
"PracticeLocationAddressStateName": "WA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-445-5698",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/02/2019",
"LastUpdateDate": "10/02/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCGEE",
"AuthorizedOfficialFirstName": "KATHERINE",
"AuthorizedOfficialMiddleName": "EFM",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "PT, DPT",
"AuthorizedOfficialTelephoneNumber": "425-445-5698",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2251X0800X",
"TaxonomyName": "Orthopedic Physical Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}