{
"Npi": {
"NPI": "1548617178",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NICOLE'S HEALING HANDS MASSAGE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "21 D ST SW STE B3",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "QUINCY",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98848-1236",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-797-5030",
"MailingAddressFaxNumber": "509-352-2030",
"FirstLinePracticeLocationAddress": "21 D ST SW STE B3",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "QUINCY",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98848-1236",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-797-5030",
"PracticeLocationAddressFaxNumber": "509-352-2030",
"EnumerationDate": "05/24/2016",
"LastUpdateDate": "05/24/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "O'SHEA",
"AuthorizedOfficialFirstName": "NICOLE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMT, CHC",
"AuthorizedOfficialTelephoneNumber": "509-797-5030",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA00022603",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}