{
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"FirstLineMailingAddress": "30026 VASSAR ST NE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH BRANCH",
"MailingAddressStateName": "MN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "651-470-7157",
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"FirstLinePracticeLocationAddress": "6241 MAIN ST STE 102",
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"PracticeLocationAddressCityName": "NORTH BRANCH",
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"PracticeLocationAddressTelephoneNumber": "651-470-5422",
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"EnumerationDate": "04/04/2025",
"LastUpdateDate": "04/04/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUTCHINGS",
"AuthorizedOfficialFirstName": "KAYLENE",
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"AuthorizedOfficialCredential": "DC",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}