{
"Npi": {
"NPI": "1265457147",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DR PEPPER CHIROPRACTIC-ACUPUNCTURE CENTER INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2827 ALT. HWY 27 S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEBRING",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33870",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "863-386-4325",
"MailingAddressFaxNumber": "863-386-0473",
"FirstLinePracticeLocationAddress": "2827 ALT. HWY 27 S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEBRING",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33870",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "863-386-4325",
"PracticeLocationAddressFaxNumber": "863-386-0473",
"EnumerationDate": "07/13/2006",
"LastUpdateDate": "12/08/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEPPER",
"AuthorizedOfficialFirstName": "LARRY",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "DR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "863-386-4325",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "CH 7522",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}