{
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"IsOrgSubpart": "N",
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"OrgName": "FERAS ZIADAT DMD PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"FirstLineMailingAddress": "1720 E WARNER RD STE 5",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TEMPE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85284-4542",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-345-7413",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1720 E WARNER RD STE 5",
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"PracticeLocationAddressCityName": "TEMPE",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/05/2020",
"LastUpdateDate": "03/05/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZIADAT",
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"AuthorizedOfficialMiddleName": "ZIAD",
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"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "602-481-9876",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}