{
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"IsOrgSubpart": "N",
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"OrgName": "HOUK CHIROPRACTIC-COEUR D'ALENE P.C.",
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "PO BOX 28503",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPOKANE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "99228-8503",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-466-1367",
"MailingAddressFaxNumber": "509-465-4929",
"FirstLinePracticeLocationAddress": "610 W HUBBARD ST",
"SecondLinePracticeLocationAddress": "SUITE 116",
"PracticeLocationAddressCityName": "COEUR D ALENE",
"PracticeLocationAddressStateName": "ID",
"PracticeLocationAddressPostalCode": "83814-2285",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "208-664-9134",
"PracticeLocationAddressFaxNumber": "208-661-1623",
"EnumerationDate": "08/02/2013",
"LastUpdateDate": "06/20/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOUK",
"AuthorizedOfficialFirstName": "MARK",
"AuthorizedOfficialMiddleName": "WM",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "208-664-9134",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "60299851",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225700000X",
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
"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."
},
{
"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."
}
]
}
}
}