{
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"MailingAddressCityName": "CONCRETE",
"MailingAddressStateName": "WA",
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"FirstLinePracticeLocationAddress": "18725 SMOKEY POINT BLVD",
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"PracticeLocationAddressCityName": "ARLINGTON",
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"EnumerationDate": "10/18/2025",
"LastUpdateDate": "10/18/2025",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA70046520",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}