{
"Npi": {
"NPI": "1770723363",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
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"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "GRAFTON",
"FirstName": "GORDON",
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"NamePrefix": "MR.",
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"Credential": "LMT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GRAFTON",
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"OtherCredential": "LMT",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "832 E MAIN ST",
"SecondLineMailingAddress": "5",
"MailingAddressCityName": "MEDFORD",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97504-7153",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "541-201-0224",
"MailingAddressFaxNumber": "541-857-4011",
"FirstLinePracticeLocationAddress": "832 E MAIN ST",
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"PracticeLocationAddressCityName": "MEDFORD",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97504-7153",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "541-201-0224",
"PracticeLocationAddressFaxNumber": "541-857-4011",
"EnumerationDate": "02/23/2009",
"LastUpdateDate": "02/23/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
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"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "7494",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}