{
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"FirstLineMailingAddress": "3908 S AUBURN ST",
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"MailingAddressCityName": "KENNEWICK",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-430-5872",
"MailingAddressFaxNumber": "888-948-5923",
"FirstLinePracticeLocationAddress": "3908 S AUBURN ST",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-430-5872",
"PracticeLocationAddressFaxNumber": "888-948-5923",
"EnumerationDate": "08/06/2007",
"LastUpdateDate": "07/12/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA00021133",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}