{
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"FirstLineMailingAddress": "3516 FOREST COVE LN",
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"MailingAddressCityName": "LEXINGTON",
"MailingAddressStateName": "KY",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "80 CODELL DR",
"SecondLinePracticeLocationAddress": "SUITE 150B",
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"EnumerationDate": "09/21/2007",
"LastUpdateDate": "05/27/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BAILEY",
"AuthorizedOfficialFirstName": "FRANCIS",
"AuthorizedOfficialMiddleName": "LOUIS",
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"AuthorizedOfficialCredential": "DC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Chiropractor",
"LicenseNumber": "3972",
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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."
}
}
}
}