{
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"FirstLineMailingAddress": "333 E CITY AVE",
"SecondLineMailingAddress": "2 BALA PLAZA",
"MailingAddressCityName": "BALA CYNWYD",
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"MailingAddressPostalCode": "19004-1501",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-668-2777",
"MailingAddressFaxNumber": "610-668-1509",
"FirstLinePracticeLocationAddress": "333 E CITY AVE",
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"PracticeLocationAddressFaxNumber": "610-668-1509",
"EnumerationDate": "12/02/2005",
"LastUpdateDate": "05/07/2008",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NEVYAS",
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"Taxonomies": {
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"TaxonomyName": "Ambulatory Surgical Clinic/Center",
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}
},
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}
}