{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION",
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"OrgName": "TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION",
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 827282",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHILADELPHIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19182-7282",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-625-5341",
"MailingAddressFaxNumber": "215-629-0716",
"FirstLinePracticeLocationAddress": "8TH AT RACE STREET",
"SecondLinePracticeLocationAddress": "SECOND FLOOR",
"PracticeLocationAddressCityName": "PHILADELPHIA",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19107-0000",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-625-5381",
"PracticeLocationAddressFaxNumber": "215-629-4904",
"EnumerationDate": "08/15/2005",
"LastUpdateDate": "04/10/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NEWMAN",
"AuthorizedOfficialFirstName": "LARRY",
"AuthorizedOfficialMiddleName": "MARK",
"AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
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"AuthorizedOfficialCredential": "D.P.M",
"AuthorizedOfficialTelephoneNumber": "215-625-5310",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "15661501",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}