{
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"MailingAddressFaxNumber": "610-253-9488",
"FirstLinePracticeLocationAddress": "2031 HAY TERRACE",
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"EnumerationDate": "05/27/2008",
"LastUpdateDate": "09/16/2009",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZAWAWI",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
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"TaxonomyName": "Psychiatry Physician",
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}
},
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}
}
}
}