{
"Npi": {
"NPI": "1225354277",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FRIDBERG ASSOCIATES, P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "510 REVOLUTION ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAVRE DE GRACE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21078-3318",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-939-5330",
"MailingAddressFaxNumber": "410-939-6204",
"FirstLinePracticeLocationAddress": "510 REVOLUTION ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAVRE DE GRACE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21078-3318",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-939-5330",
"PracticeLocationAddressFaxNumber": "410-939-6204",
"EnumerationDate": "04/15/2010",
"LastUpdateDate": "04/15/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRIDBERG",
"AuthorizedOfficialFirstName": "MARIANNE",
"AuthorizedOfficialMiddleName": "F",
"AuthorizedOfficialTitle": "PHYSICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "410-939-5330",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "D22433",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}