{
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"OrgName": "ROSS PODELL, M.D., P.C.",
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"FirstLineMailingAddress": "250 WEST LANCASTER AVENUE",
"SecondLineMailingAddress": "SUITE 200",
"MailingAddressCityName": "PAOLI",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19301-1751",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-889-7530",
"MailingAddressFaxNumber": "610-889-7531",
"FirstLinePracticeLocationAddress": "250 W LANCASTER AVE",
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"PracticeLocationAddressTelephoneNumber": "610-889-7530",
"PracticeLocationAddressFaxNumber": "610-889-7531",
"EnumerationDate": "08/05/2007",
"LastUpdateDate": "11/14/2007",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PODELL",
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"AuthorizedOfficialMiddleName": "D.",
"AuthorizedOfficialTitle": "PHYSICIAN",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "610-889-7530",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "MD066922L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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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."
}
}
}
}