{
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"NamePrefix": null,
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"FirstLineMailingAddress": "600 S MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENSBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15601-4049",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-834-1448",
"MailingAddressFaxNumber": "724-834-4788",
"FirstLinePracticeLocationAddress": "117 WORK DR",
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"PracticeLocationAddressCityName": "JOHNSTOWN",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "814-266-4350",
"PracticeLocationAddressFaxNumber": "814-269-0342",
"EnumerationDate": "06/25/2006",
"LastUpdateDate": "01/09/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SVETZ",
"AuthorizedOfficialFirstName": "MICHELLE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "724-834-1448",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BC3200X",
"TaxonomyName": "Customized Equipment (DME)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}