{
"Npi": {
"NPI": "1710990353",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "GEHRUNG CHIROPRACTIC CENTER, S.C.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherCredential": null,
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"FirstLineMailingAddress": "W177N9856 RIVERCREST DR",
"SecondLineMailingAddress": "STE. 102",
"MailingAddressCityName": "GERMANTOWN",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53022-4612",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "262-251-7711",
"MailingAddressFaxNumber": "262-251-4821",
"FirstLinePracticeLocationAddress": "W177N9856 RIVERCREST DR",
"SecondLinePracticeLocationAddress": "STE. 102",
"PracticeLocationAddressCityName": "GERMANTOWN",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53022-4612",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "262-251-7711",
"PracticeLocationAddressFaxNumber": "262-251-4821",
"EnumerationDate": "08/14/2006",
"LastUpdateDate": "01/10/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GEHRUNG",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "LUKE",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "261-251-7711",
"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."
}
}
}
}