{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RIVERWALK FAMILY CHIROPRACTIC, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "100 E 9TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WENATCHEE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98801-1505",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-888-1099",
"MailingAddressFaxNumber": "509-888-2068",
"FirstLinePracticeLocationAddress": "100 E 9TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WENATCHEE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98801-1505",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-888-1099",
"PracticeLocationAddressFaxNumber": "509-888-2068",
"EnumerationDate": "12/11/2015",
"LastUpdateDate": "12/11/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KOCH",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "509-433-2225",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "603554608",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}