{
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"EIN": null,
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"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1453",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALLYN",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98524",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-801-5011",
"MailingAddressFaxNumber": "360-208-0662",
"FirstLinePracticeLocationAddress": "9951 MICKELBERRY RD NW STE 215",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SILVERDALE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98383-8309",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-801-5011",
"PracticeLocationAddressFaxNumber": "360-208-0662",
"EnumerationDate": "03/27/2007",
"LastUpdateDate": "06/25/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA00020056",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}