{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "HOUDESHELL CHIROPRACTIC, PLLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "318 MAIN AVE STE 1",
"SecondLineMailingAddress": "PO BOX 284",
"MailingAddressCityName": "PLATTE",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57369-2120",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-337-3102",
"MailingAddressFaxNumber": "605-337-3104",
"FirstLinePracticeLocationAddress": "318 MAIN AVE",
"SecondLinePracticeLocationAddress": "SUITE #1",
"PracticeLocationAddressCityName": "PLATTE",
"PracticeLocationAddressStateName": "SD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-337-3102",
"PracticeLocationAddressFaxNumber": "605-337-3104",
"EnumerationDate": "05/05/2014",
"LastUpdateDate": "05/05/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOUDESHELL",
"AuthorizedOfficialFirstName": "CALLIE",
"AuthorizedOfficialMiddleName": "BETH",
"AuthorizedOfficialTitle": "DOCTOR OF CHIROPRACTIC",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "605-337-3102",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "1207",
"LicenseNumberStateCode": "SD",
"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."
}
}
}
}