{
"Npi": {
"NPI": "1477749166",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TAIFOUR",
"FirstName": "ABDUL",
"MiddleName": "KARIM",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "LMPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "TAIFOUR",
"OtherFirstName": "ABDUL KARIM",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "LMPC",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "PO BOX 27612",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEATTLE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98165-2612",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-226-2527",
"MailingAddressFaxNumber": "866-305-5149",
"FirstLinePracticeLocationAddress": "11705 40TH AVE NE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEATTLE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98125-5726",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-226-2527",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/17/2007",
"LastUpdateDate": "12/04/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "12437",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}