{
"Npi": {
"NPI": "1831526607",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "M2 CHIROPRACTIC AND PHYSICAL THERAPY, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6719 RUNNER OAK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESLEY CHAPEL",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33545-4827",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-395-5710",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "38111 5TH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ZEPHYRHILLS",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33542-4910",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-713-6758",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/10/2013",
"LastUpdateDate": "10/10/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCDUFFIE",
"AuthorizedOfficialFirstName": "JENNIFER",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "CHIROPRACTIC PHYSICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "813-395-5710",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332900000X",
"TaxonomyName": "Non-Pharmacy Dispensing Site",
"LicenseNumber": "CH11022",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}