{
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"LastName": null,
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"FirstLineMailingAddress": "263 S EUCLID AVE",
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"MailingAddressCityName": "PASADENA",
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"FirstLinePracticeLocationAddress": "263 S EUCLID AVE",
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"EnumerationDate": "03/23/2010",
"LastUpdateDate": "03/23/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "CHOE",
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"AuthorizedOfficialTitle": "CHIROPRACTOR",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Chiropractor",
"LicenseNumber": "30548",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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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."
}
}
}
}