{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "FREDERICK B NIEGOS MDPA",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "2700 CITIZENS PLAZA, SUITE 206",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VICTORIA",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77901",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "361-574-1870",
"MailingAddressFaxNumber": "361-574-1871",
"FirstLinePracticeLocationAddress": "2700 CITIZENS PLAZA, SUITE 206",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VICTORIA",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77901",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "361-574-1870",
"PracticeLocationAddressFaxNumber": "361-574-1871",
"EnumerationDate": "10/13/2011",
"LastUpdateDate": "03/19/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NIEGOS",
"AuthorizedOfficialFirstName": "FREDERICK",
"AuthorizedOfficialMiddleName": "B.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "361-574-1870",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RE0101X",
"TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
"LicenseNumber": "053344",
"LicenseNumberStateCode": "GA",
"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."
}
}
}
}