{
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"OrgName": "AMERICAN BACK COUNCIL, INC.",
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"FirstLineMailingAddress": "PO BOX 229",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KATY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77492-0229",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-469-2225",
"MailingAddressFaxNumber": "713-784-5364",
"FirstLinePracticeLocationAddress": "11811 EAST FWY # I-10",
"SecondLinePracticeLocationAddress": "SUITE 300",
"PracticeLocationAddressCityName": "HOUSTON",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "713-784-5364",
"EnumerationDate": "08/08/2007",
"LastUpdateDate": "08/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUTIERREZ",
"AuthorizedOfficialFirstName": "GABRIEL",
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"AuthorizedOfficialCredential": "D.C.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Chiropractor",
"LicenseNumber": "2939",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}