{
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"FirstLineMailingAddress": "9654 JOPLIN ST",
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"FirstLinePracticeLocationAddress": "7860 E BERRY PL STE 110",
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"EnumerationDate": "05/07/2026",
"LastUpdateDate": "05/07/2026",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "0002223",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}