{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALLY RADIOLOGY CONSULTANTS, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1907 W FARMVILLE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AUBURN",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36879-4621",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-422-3424",
"MailingAddressFaxNumber": "334-384-9274",
"FirstLinePracticeLocationAddress": "1907 W FARMVILLE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AUBURN",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36879-4621",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-422-3424",
"PracticeLocationAddressFaxNumber": "334-384-9274",
"EnumerationDate": "09/25/2015",
"LastUpdateDate": "09/25/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOOVER",
"AuthorizedOfficialFirstName": "JASON",
"AuthorizedOfficialMiddleName": "ANDREW",
"AuthorizedOfficialTitle": "OWNER/CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "205-422-3424",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0200X",
"TaxonomyName": "Radiology Clinic/Center",
"LicenseNumber": "MD.29612",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}