{
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"FirstLineMailingAddress": "301 AMES ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BALDWIN CITY",
"MailingAddressStateName": "KS",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "785-594-1437",
"FirstLinePracticeLocationAddress": "301 AMES ST",
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"PracticeLocationAddressCityName": "BALDWIN CITY",
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"EnumerationDate": "10/19/2017",
"LastUpdateDate": "02/25/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JAMES",
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"AuthorizedOfficialCredential": "DC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Chiropractor",
"LicenseNumber": "01-05859",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}