{
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"FirstLineMailingAddress": "2840 19TH AVE S",
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"MailingAddressCityName": "GRAND FORKS",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "701-772-2670",
"MailingAddressFaxNumber": "701-772-2706",
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"PracticeLocationAddressCityName": "GRAND FORKS",
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"PracticeLocationAddressFaxNumber": "701-772-2706",
"EnumerationDate": "02/16/2007",
"LastUpdateDate": "12/03/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HANSON",
"AuthorizedOfficialFirstName": "JULIE",
"AuthorizedOfficialMiddleName": "ANN",
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"AuthorizedOfficialNamePrefix": "MRS.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "701-772-2670",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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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."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
]
}
}
}