{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "RANAS FAMILY MEDICAL CLINIC P C",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "810 HIGHWAY 2 N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILBURTON",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74578-3625",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-465-0170",
"MailingAddressFaxNumber": "918-465-4830",
"FirstLinePracticeLocationAddress": "810 HIGHWAY 2 N",
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"PracticeLocationAddressCityName": "WILBURTON",
"PracticeLocationAddressStateName": "OK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-465-0170",
"PracticeLocationAddressFaxNumber": "918-465-4830",
"EnumerationDate": "10/19/2007",
"LastUpdateDate": "11/06/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RANA",
"AuthorizedOfficialFirstName": "GERALD",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "DO",
"AuthorizedOfficialTelephoneNumber": "918-465-0170",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "OK",
"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."
}
}
}
}