{
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"IsOrgSubpart": "N",
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"OrgName": ".GREGORY W. PASTRICK, D.C. LLC",
"LastName": null,
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"FirstLineMailingAddress": "184 OVERLOOK BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STRUTHERS",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44471-1615",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-518-7795",
"MailingAddressFaxNumber": "330-729-1101",
"FirstLinePracticeLocationAddress": "727 E WESTERN RESERVE RD",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "POLAND",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44514-4359",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-519-7795",
"PracticeLocationAddressFaxNumber": "330-729-1101",
"EnumerationDate": "01/05/2009",
"LastUpdateDate": "01/05/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PASTRICK",
"AuthorizedOfficialFirstName": "GREGORY",
"AuthorizedOfficialMiddleName": "W",
"AuthorizedOfficialTitle": "OWNER/MEMBER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "330-518-7795",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "1371",
"LicenseNumberStateCode": "OH",
"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."
}
}
}
}