{
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"IsOrgSubpart": "N",
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"ParentOrgTIN": null,
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"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "7130 PRESTON RD",
"SecondLineMailingAddress": "STE 300",
"MailingAddressCityName": "PLANO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75024-3265",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-208-8877",
"MailingAddressFaxNumber": "972-208-8866",
"FirstLinePracticeLocationAddress": "7130 PRESTON RD",
"SecondLinePracticeLocationAddress": "STE 300",
"PracticeLocationAddressCityName": "PLANO",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-208-8877",
"PracticeLocationAddressFaxNumber": "972-208-8866",
"EnumerationDate": "10/03/2014",
"LastUpdateDate": "10/03/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHIN",
"AuthorizedOfficialFirstName": "HO CHAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "972-208-8877",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "11160",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}