{
"Npi": {
"NPI": "1295179174",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALL ACCESS CHIROPRACTIC P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "162 VILLAGE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELMONT",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11003-4238",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-830-8671",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "13102 LIBERTY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SOUTH RICHMOND HILL",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11419-3124",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-444-7198",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/23/2013",
"LastUpdateDate": "04/25/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSS",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "PHILLIP",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "516-444-7198",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP3300X",
"TaxonomyName": "Pain Clinic/Center",
"LicenseNumber": "010025",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}