{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "CRISTEL ENTERPRISES CO.",
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"NamePrefix": null,
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"FirstLineMailingAddress": "112 ANNWOOD RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM HARBOR",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34685-1901",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-430-3581",
"MailingAddressFaxNumber": "877-430-8889",
"FirstLinePracticeLocationAddress": "2753 STATE ROAD 580",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLEARWATER",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33761-3355",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-444-0909",
"PracticeLocationAddressFaxNumber": "877-430-8889",
"EnumerationDate": "07/08/2013",
"LastUpdateDate": "07/08/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARDEN",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "727-430-3581",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}