{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MASSAGE ANGLES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "112 S FEDERAL HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DANIA BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33004-3623",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-834-3251",
"MailingAddressFaxNumber": "954-456-3733",
"FirstLinePracticeLocationAddress": "112 S FEDERAL HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DANIA BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33004-3623",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-834-3251",
"PracticeLocationAddressFaxNumber": "954-456-3733",
"EnumerationDate": "09/28/2010",
"LastUpdateDate": "09/28/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TORRES-COLE",
"AuthorizedOfficialFirstName": "MELODIE",
"AuthorizedOfficialMiddleName": "ROSE",
"AuthorizedOfficialTitle": "MASSAGE THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMT",
"AuthorizedOfficialTelephoneNumber": "954-834-3251",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "MA34917",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}