{
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"IsOrgSubpart": "N",
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"OrgName": "MILES FRANKLIN ADLER, M.D., A PROFESSIONAL CORPO",
"LastName": null,
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"FirstLineMailingAddress": "13847 E. FOURTEENTH STREET",
"SecondLineMailingAddress": "SUITE 115",
"MailingAddressCityName": "SAN LEANDRO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94578-2625",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-357-8180",
"MailingAddressFaxNumber": "510-357-0276",
"FirstLinePracticeLocationAddress": "13847 E. FOURTEENTH STREET",
"SecondLinePracticeLocationAddress": "SUITE 115",
"PracticeLocationAddressCityName": "SAN LEANDRO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-357-8180",
"PracticeLocationAddressFaxNumber": "510-357-0276",
"EnumerationDate": "02/10/2012",
"LastUpdateDate": "02/10/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADLER",
"AuthorizedOfficialFirstName": "MILES",
"AuthorizedOfficialMiddleName": "FRANKLIN",
"AuthorizedOfficialTitle": "PHYSICIAN/OWNER/PRESIDENT OF CORPOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "510-357-8160",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RG0100X",
"TaxonomyName": "Gastroenterology Physician",
"LicenseNumber": "G16859",
"LicenseNumberStateCode": "CA",
"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."
}
}
}
}