{
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"ParentOrgTIN": null,
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"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "85 SACHEM ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORWICH",
"MailingAddressStateName": "CT",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-889-5812",
"MailingAddressFaxNumber": "860-886-9247",
"FirstLinePracticeLocationAddress": "85 SACHEM ST",
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"PracticeLocationAddressCityName": "NORWICH",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06360",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-889-5812",
"PracticeLocationAddressFaxNumber": "860-886-9247",
"EnumerationDate": "03/12/2007",
"LastUpdateDate": "11/03/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "07/22/2008",
"NPIReactivationDate": "10/01/2008",
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARNAROLI",
"AuthorizedOfficialFirstName": "LYNN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "860-886-9277",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "111N00000X",
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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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."
},
{
"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."
}
]
}
}
}