{
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"FirstLineMailingAddress": "PO BOX 356",
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"MailingAddressCityName": "DANVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40423-0356",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "859-238-9977",
"FirstLinePracticeLocationAddress": "100 BAUGHMAN AVE.",
"SecondLinePracticeLocationAddress": "SUITE B",
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"PracticeLocationAddressTelephoneNumber": "859-238-9300",
"PracticeLocationAddressFaxNumber": "859-238-9977",
"EnumerationDate": "01/29/2008",
"LastUpdateDate": "01/08/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MACKEY",
"AuthorizedOfficialFirstName": "CRAIG",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "859-238-9300",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "111NN1001X",
"TaxonomyName": "Nutrition Chiropractor",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
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}
]
}
}
}