{
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"OrgName": "WHITE OAK EMERGENCY MEDICAL SERVICE",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2800 STATE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WHITE OAK",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15131-1331",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "412-672-3055",
"MailingAddressFaxNumber": "412-672-1616",
"FirstLinePracticeLocationAddress": "2800 STATE ST",
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"PracticeLocationAddressCityName": "WHITE OAK",
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"PracticeLocationAddressTelephoneNumber": "412-672-3055",
"PracticeLocationAddressFaxNumber": "412-672-1616",
"EnumerationDate": "11/12/2006",
"LastUpdateDate": "10/26/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PETRO",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "W.",
"AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "PARAMEDIC",
"AuthorizedOfficialTelephoneNumber": "412-672-3055",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "04283",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}