{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "FINESSE CHIROPRACTIC PS",
"LastName": null,
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"MiddleName": null,
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"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5401 CORPORATE CENTER LOOP SE STE R",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LACEY",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98503-5606",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-918-8782",
"MailingAddressFaxNumber": "360-972-2096",
"FirstLinePracticeLocationAddress": "5401 CORPORATE CENTER LOOP SE STE K11",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LACEY",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98503-5606",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-918-8782",
"PracticeLocationAddressFaxNumber": "360-972-2096",
"EnumerationDate": "05/29/2012",
"LastUpdateDate": "11/19/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KUNIKIYO",
"AuthorizedOfficialFirstName": "MARVIN",
"AuthorizedOfficialMiddleName": "I",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "360-918-8782",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "CH000002656",
"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."
}
}
}
}