{
"Npi": {
"NPI": "1649551078",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "CRAWFORD CHIROPRACTIC, LTD.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8328 N 1075TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROBINSON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62454-5928",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "618-554-5132",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2137 E MAIN ST",
"SecondLinePracticeLocationAddress": "SUITE 2",
"PracticeLocationAddressCityName": "ROBINSON",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "62454-3708",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "618-554-5132",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/30/2011",
"LastUpdateDate": "08/30/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GULLETT",
"AuthorizedOfficialFirstName": "JARED",
"AuthorizedOfficialMiddleName": "MICHAEL",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "618-554-5132",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "038012013",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}