{
"Npi": {
"NPI": "1134318017",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GOTTSCHLING CHIROPRACTIC CENTER, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "605 S TRIMBLE RD",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "MANSFIELD",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44906-4112",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-756-2986",
"MailingAddressFaxNumber": "515-583-6974",
"FirstLinePracticeLocationAddress": "605 S TRIMBLE RD",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "MANSFIELD",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44906-4112",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-756-2986",
"PracticeLocationAddressFaxNumber": "515-583-6974",
"EnumerationDate": "10/17/2007",
"LastUpdateDate": "04/20/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOTTSCHLING",
"AuthorizedOfficialFirstName": "MARTIN",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "DOCTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D. C.",
"AuthorizedOfficialTelephoneNumber": "419-756-0701",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "1257",
"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."
}
}
}
}