{
"Npi": {
"NPI": "1376153726",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DR. KATTIE KHADAR, PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6201 GREENBELT RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BERWYN HEIGHTS",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20740-2354",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-547-3939",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6201 GREENBELT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BERWYN HEIGHTS",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20740-2354",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-547-3939",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/31/2020",
"LastUpdateDate": "07/31/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KHADAR",
"AuthorizedOfficialFirstName": "KATTIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DNP-FNP",
"AuthorizedOfficialTelephoneNumber": "240-481-5289",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}