{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "S.P.E. CHIROPRACTIC, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2180 HUGHES AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRONX",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10457-1664",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "646-229-2290",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "14040 QUEENS BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JAMAICA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11435-3220",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-480-6794",
"PracticeLocationAddressFaxNumber": "718-480-6985",
"EnumerationDate": "03/27/2012",
"LastUpdateDate": "03/27/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EHIGIEGBA",
"AuthorizedOfficialFirstName": "SWEET",
"AuthorizedOfficialMiddleName": "PRECIOUS",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D. C.",
"AuthorizedOfficialTelephoneNumber": "646-229-2290",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "011734",
"LicenseNumberStateCode": "NY",
"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."
}
}
}
}