{
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"FirstLineMailingAddress": "924 MAIN ST",
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"MailingAddressCityName": "HELLERTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18055-1525",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "500 W GERMANTOWN PIKE",
"SecondLinePracticeLocationAddress": "SUITE 1020",
"PracticeLocationAddressCityName": "PLYMOUTH MEETING",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19462-1353",
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"PracticeLocationAddressTelephoneNumber": "866-528-8767",
"PracticeLocationAddressFaxNumber": "866-528-8767",
"EnumerationDate": "09/27/2012",
"LastUpdateDate": "12/06/2013",
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"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SOLIMEO",
"AuthorizedOfficialFirstName": "MAGGIE",
"AuthorizedOfficialMiddleName": "UMERES",
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"AuthorizedOfficialCredential": "DPM",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "SC006006",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}