{
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"FirstLineMailingAddress": "3354 LONGSHORE AVE",
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"MailingAddressCityName": "PHILADELPHIA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1825 LIMEKILN PIKE STE 5",
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"PracticeLocationAddressCityName": "DRESHER",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-646-6400",
"PracticeLocationAddressFaxNumber": "215-646-0650",
"EnumerationDate": "01/25/2023",
"LastUpdateDate": "01/25/2023",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MSG011719",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}