{
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"OrgName": "SHAFER CHIROPRACTIC LLC",
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"FirstLineMailingAddress": "1156 WINDCREST DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENSBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15601-6247",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-837-4559",
"MailingAddressFaxNumber": "724-837-4356",
"FirstLinePracticeLocationAddress": "2030 FREDRICKSON PL",
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"PracticeLocationAddressCityName": "GREENSBURG",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-837-4559",
"PracticeLocationAddressFaxNumber": "724-837-4356",
"EnumerationDate": "12/11/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHAFER",
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"AuthorizedOfficialMiddleName": "E",
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"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "724-837-4559",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "DC006283L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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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."
}
}
}
}