{
"Npi": {
"NPI": "1073781415",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BELL FAMILY CHIROPRACTIC, P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "21 CAMBRIDGE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WETUMPKA",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36093-1261",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "334-514-4977",
"MailingAddressFaxNumber": "334-514-4979",
"FirstLinePracticeLocationAddress": "8011 US HIGHWAY 231",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WETUMPKA",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36092-2062",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "334-514-4977",
"PracticeLocationAddressFaxNumber": "334-514-4979",
"EnumerationDate": "02/20/2008",
"LastUpdateDate": "02/04/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BELL",
"AuthorizedOfficialFirstName": "GUS",
"AuthorizedOfficialMiddleName": "WES",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "334-514-4977",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "2045",
"LicenseNumberStateCode": "AL",
"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."
}
}
}
}