{
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"FirstLineMailingAddress": "9376 MUSTARD LEAF DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ORLANDO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32827",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-595-7461",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6150 METROWEST BLVD",
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"EnumerationDate": "02/15/2008",
"LastUpdateDate": "03/05/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TUBAUDO",
"AuthorizedOfficialFirstName": "YUKIKO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "LMT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA38404",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}