{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "17006 HIGHWAY 87 STE B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOONVILLE",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65233-2938",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "660-373-2280",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "17006 HIGHWAY 87 STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BOONVILLE",
"PracticeLocationAddressStateName": "MO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "660-373-2280",
"PracticeLocationAddressFaxNumber": "660-202-1875",
"EnumerationDate": "05/11/2023",
"LastUpdateDate": "07/14/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SOMMER",
"AuthorizedOfficialFirstName": "SARAH",
"AuthorizedOfficialMiddleName": "ELIZABETH",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "660-373-2280",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}