{
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"IsOrgSubpart": "N",
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"OrgName": "DUKE HEALTH AND WELLNESS",
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"FirstLineMailingAddress": "PO BOX 3514",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARIETTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30061-3514",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-693-0707",
"MailingAddressFaxNumber": "770-693-0930",
"FirstLinePracticeLocationAddress": "1455 BELLS FERRY RD STE 200",
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"PracticeLocationAddressCityName": "MARIETTA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30066-6078",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-693-0707",
"PracticeLocationAddressFaxNumber": "770-693-0930",
"EnumerationDate": "06/07/2018",
"LastUpdateDate": "06/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DUKE",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "THOMAS",
"AuthorizedOfficialTitle": "CLINIC DIRECTOR/ AO",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "770-693-0707",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "GA0005676",
"LicenseNumberStateCode": "GA",
"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."
}
}
}
}