{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SZILVIA PELI O.D.,LLC",
"LastName": null,
"FirstName": null,
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"Credential": null,
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"FirstLineMailingAddress": "343 MOUNT HOPE AVE",
"SecondLineMailingAddress": "PEARLE VISION",
"MailingAddressCityName": "ROCKAWAY",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07866-1644",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-366-8144",
"MailingAddressFaxNumber": "973-366-2572",
"FirstLinePracticeLocationAddress": "343 MOUNT HOPE AVE",
"SecondLinePracticeLocationAddress": "PEARLE VISION",
"PracticeLocationAddressCityName": "ROCKAWAY",
"PracticeLocationAddressStateName": "NJ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-366-8144",
"PracticeLocationAddressFaxNumber": "973-366-2572",
"EnumerationDate": "06/10/2010",
"LastUpdateDate": "05/04/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PELI",
"AuthorizedOfficialFirstName": "SZILVIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "973-366-8144",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "27OA00554600",
"LicenseNumberStateCode": "NJ",
"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."
}
}
}
}