{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "VERHUNCE CHIROPRACTIC CORPORATION",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": "6",
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "21904 MARINE VIEW DR S",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "DES MOINES",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98198-6103",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-824-5521",
"MailingAddressFaxNumber": "206-212-7455",
"FirstLinePracticeLocationAddress": "21904 MARINE VIEW DR S",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "DES MOINES",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98198-6103",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-824-5521",
"PracticeLocationAddressFaxNumber": "206-212-7455",
"EnumerationDate": "02/07/2007",
"LastUpdateDate": "01/08/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VERHUNCE",
"AuthorizedOfficialFirstName": "BONNIE",
"AuthorizedOfficialMiddleName": "JEAN",
"AuthorizedOfficialTitle": "DOCTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "206-824-5521",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "602003024",
"LicenseNumberStateCode": "WA",
"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."
}
}
}
}