{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PER DIEM WITH QUALITY, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1415",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POTTSTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19464-0893",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-327-2035",
"MailingAddressFaxNumber": "610-327-2035",
"FirstLinePracticeLocationAddress": "113 EVERGREEN CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BLUE BELL",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19422-2817",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-654-8186",
"PracticeLocationAddressFaxNumber": "215-654-8187",
"EnumerationDate": "03/26/2007",
"LastUpdateDate": "07/01/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CLEMENT",
"AuthorizedOfficialFirstName": "GORDON",
"AuthorizedOfficialMiddleName": "S.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "610-327-2035",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "MD009204E",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}