{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ALISTAIR CO, PLLC",
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"FirstLineMailingAddress": "1679 W SPRING MEADOW LOOP",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LECANTO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34461-7687",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "810-406-7175",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6201 N SUNCOAST BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CRYSTAL RIVER",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressTelephoneNumber": "810-406-7175",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/13/2015",
"LastUpdateDate": "12/13/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CO",
"AuthorizedOfficialFirstName": "ALISTAIR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "810-406-7175",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207QA0505X",
"TaxonomyName": "Adult Medicine Physician",
"LicenseNumber": "ME110427",
"LicenseNumberStateCode": "FL",
"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."
}
}
}
}