{
"Npi": {
"NPI": "1689850539",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HOLLOWAY",
"FirstName": "DOREEN",
"MiddleName": "MADELEINE DAY",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DAY HOLLOWAY",
"OtherFirstName": "DOREEN",
"OtherMiddleName": "MADELEINE",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "1064 MEADOWVIEW DR",
"SecondLineMailingAddress": "SUITE 8",
"MailingAddressCityName": "BOONE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28607-4821",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "828-265-8300",
"MailingAddressFaxNumber": "336-667-8718",
"FirstLinePracticeLocationAddress": "1064 MEADOWVIEW DR STE 8",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BOONE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28607-4855",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "828-265-8300",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/10/2008",
"LastUpdateDate": "03/23/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "3195",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}