{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "REBECCA BIORATO INC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
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"FirstLineMailingAddress": "14936 SW 65TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MUSTANG",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73064-9599",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-256-5011",
"MailingAddressFaxNumber": "405-324-5074",
"FirstLinePracticeLocationAddress": "731 E STATE HIGHWAY 152",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MUSTANG",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73064",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-256-5011",
"PracticeLocationAddressFaxNumber": "405-256-5074",
"EnumerationDate": "03/17/2009",
"LastUpdateDate": "10/19/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BIORATO",
"AuthorizedOfficialFirstName": "REBECCA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "405-818-7425",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}