{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "CORNERSTONE CHIROPRACTIC INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "319 21ST ST N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PELL CITY",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35125-1725",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-683-6332",
"MailingAddressFaxNumber": "866-910-2391",
"FirstLinePracticeLocationAddress": "211 19TH ST S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PELL CITY",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35128-2007",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-683-6332",
"PracticeLocationAddressFaxNumber": "866-910-2391",
"EnumerationDate": "05/03/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RICE",
"AuthorizedOfficialFirstName": "BETH",
"AuthorizedOfficialMiddleName": "SPENCER",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "205-683-6332",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "1584",
"LicenseNumberStateCode": "AL",
"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."
}
}
}
}