{
"Npi": {
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"EIN": null,
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"Credential": "L.M.T.",
"OtherOrgName": null,
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"OtherLastName": "RICHARDSON",
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"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "827 MEADOW PL",
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"MailingAddressCityName": "MARIETTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30062-3565",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-640-6100",
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"FirstLinePracticeLocationAddress": "1155 WOODSTOCK RD",
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"PracticeLocationAddressCityName": "ROSWELL",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-640-6100",
"PracticeLocationAddressFaxNumber": "770-640-0600",
"EnumerationDate": "10/15/2008",
"LastUpdateDate": "10/15/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MT000462",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}