{
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"EIN": null,
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"FirstLineMailingAddress": "3400 SPRUCE ST",
"SecondLineMailingAddress": "3RD FLR SILVERSTEIN",
"MailingAddressCityName": "PHILADELPHIA",
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"MailingAddressPostalCode": "19104-4238",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-662-3487",
"MailingAddressFaxNumber": "215-349-5534",
"FirstLinePracticeLocationAddress": "100 E LANCASTER AVE",
"SecondLinePracticeLocationAddress": "SUITE 370",
"PracticeLocationAddressCityName": "WYNNEWOOD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-642-3005",
"PracticeLocationAddressFaxNumber": "610-642-3057",
"EnumerationDate": "06/21/2015",
"LastUpdateDate": "06/15/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Nurse Practitioner",
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"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}