{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "MILLGROVE MEDICAL CENTER INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "143 DORSET CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHOENIXVILLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19460-1051",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2793 EGYPT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AUDUBON",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19403-2254",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-805-7471",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/02/2011",
"LastUpdateDate": "05/23/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATEL",
"AuthorizedOfficialFirstName": "NILESH",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "610-792-3645",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "MD048674L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}