{
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"FirstLineMailingAddress": "15858 1ST AVE SOUTH",
"SecondLineMailingAddress": "STE# A104",
"MailingAddressCityName": "BURIEN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-838-0022",
"MailingAddressFaxNumber": "206-838-0021",
"FirstLinePracticeLocationAddress": "15858 1ST AVE SOUTH",
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"PracticeLocationAddressCityName": "BURIEN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-838-0022",
"PracticeLocationAddressFaxNumber": "206-838-0021",
"EnumerationDate": "03/29/2018",
"LastUpdateDate": "03/29/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA60469523",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}