{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SCOTT BRADY, D.C., LTD.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"FirstLineMailingAddress": "2820 W CHARLESTON BLVD",
"SecondLineMailingAddress": "SUITE #6",
"MailingAddressCityName": "LAS VEGAS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89102-1942",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2820 W CHARLESTON BLVD",
"SecondLinePracticeLocationAddress": "SUITE #6",
"PracticeLocationAddressCityName": "LAS VEGAS",
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"PracticeLocationAddressPostalCode": "89102-1942",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "792-258-7860",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/23/2010",
"LastUpdateDate": "06/23/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRADY",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "801-369-1274",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "B01369",
"LicenseNumberStateCode": "NV",
"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."
}
}
}
}