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1356411276 NPI number — TWIN LAKES CHIROPRACTIC CLINIC

NPI Number: 1356411276
Health Care Provider/Practitioner: TWIN LAKES CHIROPRACTIC CLINIC

Information about “1356411276” NPI (TWIN LAKES CHIROPRACTIC CLINIC) exists in 1356411276 in HTML format HTML  |  1356411276 in plain Text format TXT  |  1356411276 in PDF (Portable Document Format) PDF  |  1356411276 in an XML format XML  formats.

NPI Number : 1356411276 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356411276",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "TWIN LAKES CHIROPRACTIC CLINIC",
    "ParentOrgTIN": null,
    "OrgName": "TWIN LAKES CHIROPRACTIC CLINIC",
    "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": "PO BOX 148",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEVIEW",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72642-0148",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "870-431-8900",
    "MailingAddressFaxNumber": "870-431-8810",
    "FirstLinePracticeLocationAddress": "4898 HIGHWAY 178 WEST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKEVIEW",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72642",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "870-431-8900",
    "PracticeLocationAddressFaxNumber": "870-431-8810",
    "EnumerationDate": "11/08/2006",
    "LastUpdateDate": "07/14/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "UNGERANK",
    "AuthorizedOfficialFirstName": "MARK",
    "AuthorizedOfficialMiddleName": "LUDEAN",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC",
    "AuthorizedOfficialTelephoneNumber": "870-431-8900",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "904",
        "LicenseNumberStateCode": "AR",
        "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."
      }
    }
  }
}
                
            

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