{
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"FirstLineMailingAddress": "14 GREENLEA CIR",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32327-5735",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1725 CAPITAL CIR NE STE 304",
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"PracticeLocationAddressCityName": "TALLAHASSEE",
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"PracticeLocationAddressCountryCode": "US",
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"EnumerationDate": "10/08/2024",
"LastUpdateDate": "10/08/2024",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA78094",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
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}
}
}
}