{
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"FirstLineMailingAddress": "7196 EVANS RD.",
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"MailingAddressCityName": "EAU CLAIRE",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "9067 US HIGHWAY 31",
"SecondLinePracticeLocationAddress": "SUITE #209",
"PracticeLocationAddressCityName": "BERRIEN SPRINGS",
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"EnumerationDate": "05/20/2007",
"LastUpdateDate": "01/14/2011",
"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": "MA00015324",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}