{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SOMERSALL CHIROPRACTIC LLC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4670 BABCOCK ST NE",
"SecondLineMailingAddress": "SUITE 5",
"MailingAddressCityName": "PALM BAY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32905-2841",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-821-7866",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4670 BABCOCK ST NE",
"SecondLinePracticeLocationAddress": "SUITE 5",
"PracticeLocationAddressCityName": "PALM BAY",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "321-821-7866",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/26/2009",
"LastUpdateDate": "03/26/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOSEY",
"AuthorizedOfficialFirstName": "MIA",
"AuthorizedOfficialMiddleName": "SOMERSALL",
"AuthorizedOfficialTitle": "MEMBER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "321-506-5462",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "CH9654",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}