{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PEDIATRIC CARE CENTER P C",
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"NamePrefix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "PO BOX 268",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARION CENTER",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15759-0268",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-397-2326",
"MailingAddressFaxNumber": "724-397-2420",
"FirstLinePracticeLocationAddress": "1265 WAYNE AVE STE 309",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "INDIANA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-349-1310",
"PracticeLocationAddressFaxNumber": "724-397-2420",
"EnumerationDate": "09/25/2025",
"LastUpdateDate": "09/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JABIR",
"AuthorizedOfficialFirstName": "RIZWAN",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "724-388-3127",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR1300X",
"TaxonomyName": "Rural Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}