{
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"IsOrgSubpart": "N",
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"OrgName": "MUSADDIQ NAZEERI, MD, PC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "1023 POPLAR ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEBANON",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17042-6636",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-270-9446",
"MailingAddressFaxNumber": "717-270-5669",
"FirstLinePracticeLocationAddress": "1023 POPLAR ST",
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"PracticeLocationAddressCityName": "LEBANON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-270-9446",
"PracticeLocationAddressFaxNumber": "717-270-5669",
"EnumerationDate": "04/04/2007",
"LastUpdateDate": "11/01/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NAZEERI",
"AuthorizedOfficialFirstName": "SARAH",
"AuthorizedOfficialMiddleName": "MARGARET",
"AuthorizedOfficialTitle": "PRACTICE ADMINISTRATOR",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "717-270-9446",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "MD071071-L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}