{
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"FirstLineMailingAddress": "1201 S HIGH ST",
"SecondLineMailingAddress": null,
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"MailingAddressPostalCode": "43206-3400",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-444-5661",
"MailingAddressFaxNumber": "614-444-5662",
"FirstLinePracticeLocationAddress": "3321 E BROAD ST",
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"PracticeLocationAddressCityName": "COLUMBUS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "614-231-7220",
"PracticeLocationAddressFaxNumber": "614-231-7270",
"EnumerationDate": "07/02/2020",
"LastUpdateDate": "07/02/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "33.020506",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}