{
"Npi": {
"NPI": "1437580115",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHERRY BLOSSOM CHIROPRACTIC, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "104 LAWSON DR",
"SecondLineMailingAddress": "SUITE 107",
"MailingAddressCityName": "GEORGETOWN",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40324-8998",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-898-6090",
"MailingAddressFaxNumber": "859-543-0698",
"FirstLinePracticeLocationAddress": "1412 N BROADWAY",
"SecondLinePracticeLocationAddress": "SUITE 26",
"PracticeLocationAddressCityName": "LEXINGTON",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40505-3157",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "859-543-0252",
"PracticeLocationAddressFaxNumber": "859-543-0698",
"EnumerationDate": "12/06/2013",
"LastUpdateDate": "12/06/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCMONIGLE",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "PHYSICIAN/CO-OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "502-868-6090",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}