{
"Npi": {
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"EIN": null,
"IsSoleProprietor": "Y",
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"ParentOrgLBN": null,
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"LastName": "BELCHER",
"FirstName": "JASON",
"MiddleName": "NICHOLAS",
"NamePrefix": "DR.",
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"Credential": "D.C.",
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4705 CLYDE MORRIS BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORT ORANGE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32129-4103",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-763-2718",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7355 US RT. 152",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WAYNE",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "25570",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-522-6473",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/24/2013",
"LastUpdateDate": "10/05/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
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"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "CH12593",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "956",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "N"
}
]
},
"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."
}
}
}
}