{
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"NamePrefix": null,
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"FirstLineMailingAddress": "640 KENHORST PLZ",
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"MailingAddressCityName": "READING",
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"MailingAddressPostalCode": "19607-3648",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-775-4950",
"MailingAddressFaxNumber": "610-775-4951",
"FirstLinePracticeLocationAddress": "654B PHILADELPHIA AVE UNIT 20",
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"PracticeLocationAddressTelephoneNumber": "610-775-4950",
"PracticeLocationAddressFaxNumber": "610-775-4951",
"EnumerationDate": "08/08/2007",
"LastUpdateDate": "11/01/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALBERTI",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "610-775-4950",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}