{
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"EIN": null,
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"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "L.M.T.",
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"OtherLastName": "BLEGGI",
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"OtherCredential": "L.M.T.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "13552 S 110 W",
"SecondLineMailingAddress": "STE 204",
"MailingAddressCityName": "DRAPER",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84020-2401",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-815-8929",
"MailingAddressFaxNumber": "801-303-5040",
"FirstLinePracticeLocationAddress": "13552 S 110 W",
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"PracticeLocationAddressCityName": "DRAPER",
"PracticeLocationAddressStateName": "UT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-815-8929",
"PracticeLocationAddressFaxNumber": "801-303-5040",
"EnumerationDate": "02/25/2017",
"LastUpdateDate": "02/25/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "377499-4701",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}