{
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"OrgName": "TUAN DUC NGUYEN CHIROPRACTIC INC.",
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 280",
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"MailingAddressCityName": "ATWOOD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92811-0280",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-554-5304",
"MailingAddressFaxNumber": "714-554-6052",
"FirstLinePracticeLocationAddress": "10666 CHAPMAN AVE # 3",
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"PracticeLocationAddressCityName": "GARDEN GROVE",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressFaxNumber": "714-554-6052",
"EnumerationDate": "06/11/2009",
"LastUpdateDate": "09/27/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NGUYEN",
"AuthorizedOfficialFirstName": "TUAN",
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"AuthorizedOfficialCredential": "DC",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "22941",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}