{
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  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "DAVID",
    "authorized_official_last_name": "SAFFERMAN",
    "authorized_official_middle_name": "I",
    "authorized_official_telephone_number": "4434361116",
    "authorized_official_title_or_position": "President & CEO",
    "certification_date": "2024-09-23",
    "enumeration_date": "2024-09-23",
    "last_updated": "2024-09-23",
    "organization_name": "ADVANCED RADIOLOGY P A",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "ADVANCED RADIOLOGY P A",
    "status": "A"
  },
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    {
      "address_1": "10461 MILL RUN CIR STE 1020",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OWINGS MILLS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "443-436-1256",
      "postal_code": "211175544",
      "state": "MD",
      "telephone_number": "443-436-1221"
    },
    {
      "address_1": "193 STONER AVE STE 200",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WESTMINSTER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-918-3425",
      "postal_code": "211575794",
      "state": "MD",
      "telephone_number": "888-972-9700"
    }
  ],
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    {
      "code": "207U00000X",
      "desc": "Nuclear Medicine",
      "license": null,
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      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2085R0202X",
      "desc": "Radiology, Diagnostic Radiology",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2085R0204X",
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      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)",
    "certifying_board": "American Board of Radiology (ABR) / FRCR",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "30",
        "medicare_type": "Physician/Diagnostic Radiology"
      }
    ]
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}