{
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"OrgName": "CALLISTA C LAY LTD",
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"FirstLineMailingAddress": "917 W WASHINGTON BLVD BOX 254",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60607",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "312-491-8100",
"MailingAddressFaxNumber": "312-491-8105",
"FirstLinePracticeLocationAddress": "1169 W MADISON",
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"PracticeLocationAddressCityName": "CHICAGO",
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"PracticeLocationAddressTelephoneNumber": "312-491-8100",
"PracticeLocationAddressFaxNumber": "312-491-8105",
"EnumerationDate": "07/27/2012",
"LastUpdateDate": "11/21/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAY",
"AuthorizedOfficialFirstName": "CALLISTA",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "312-491-8100",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Chiropractor",
"LicenseNumber": "038012202",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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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."
}
}
}
}