{
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"FirstLineMailingAddress": "9640 CENTER AVE STE 120",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-945-3232",
"MailingAddressFaxNumber": "909-945-3220",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "909-945-3220",
"EnumerationDate": "07/02/2008",
"LastUpdateDate": "07/02/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRAWFORD",
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"AuthorizedOfficialMiddleName": "W",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "909-945-3232",
"Taxonomies": {
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{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
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},
{
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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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}
]
}
}
}