{
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"OrgName": "AMERICAN CHIROPRACTIC HEALTH CLINIC, P.C",
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 22800",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NASHVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37202-2800",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-242-6005",
"MailingAddressFaxNumber": "615-242-1315",
"FirstLinePracticeLocationAddress": "1326 ROSA L PARKS BLVD",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "NASHVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37208-2576",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-242-6005",
"PracticeLocationAddressFaxNumber": "615-242-1315",
"EnumerationDate": "05/15/2015",
"LastUpdateDate": "05/15/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "IWORAH",
"AuthorizedOfficialFirstName": "OSCAR",
"AuthorizedOfficialMiddleName": "CHUKWUEMEKA",
"AuthorizedOfficialTitle": "PRESIDENT/CLINIC DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "615-242-6005",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "DC0000000870",
"LicenseNumberStateCode": "TN",
"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."
}
}
}
}