{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PENN REHAB NETWORK INC",
"ParentOrgTIN": null,
"OrgName": "PENN REHAB NETWORK, INC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1023 PITTSBURGH RD",
"SecondLineMailingAddress": "MOUNTAIN VIEW PLAZA",
"MailingAddressCityName": "UNIONTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15401-8407",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-438-4001",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1023 PITTSBURGH RD",
"SecondLinePracticeLocationAddress": "MOUNTAIN VIEW PLAZA",
"PracticeLocationAddressCityName": "UNIONTOWN",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-438-4001",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/27/2007",
"LastUpdateDate": "01/04/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHWARZ",
"AuthorizedOfficialFirstName": "JEFFREY",
"AuthorizedOfficialMiddleName": "K",
"AuthorizedOfficialTitle": "PT, CO-OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "724-438-4001",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "PT000657E",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}