{
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"OrgName": "GRAYHAWK FAMILY CHIROPRACTIC LLC",
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"FirstLineMailingAddress": "8714 E VISTA BONITA DR",
"SecondLineMailingAddress": "SUITE 101",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "8714 E VISTA BONITA DR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-247-9063",
"PracticeLocationAddressFaxNumber": "480-247-9974",
"EnumerationDate": "08/20/2007",
"LastUpdateDate": "04/17/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SORRENTINO",
"AuthorizedOfficialFirstName": "FRANK",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "STATUTORY AGENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "480-247-9063",
"Taxonomies": {
"Taxonomy": [
{
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"TaxonomyName": "Physical Therapist",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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"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",
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}
]
}
}
}