{
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"IsOrgSubpart": "N",
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"NamePrefix": null,
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"FirstLineMailingAddress": "6555 GREENE ST",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-848-0512",
"MailingAddressFaxNumber": "215-848-0510",
"FirstLinePracticeLocationAddress": "6555 GREENE ST",
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"EnumerationDate": "06/18/2017",
"LastUpdateDate": "06/18/2017",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADEWUNMI",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "347-547-4754",
"Taxonomies": {
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{
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}