{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "NEWTOWN PHYSICAL THERAPY & REHABILITATION, INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"FirstLineMailingAddress": "770 NEWTOWN YARDLEY RD",
"SecondLineMailingAddress": "SUITE 210",
"MailingAddressCityName": "NEWTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18940-1748",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-860-7031",
"MailingAddressFaxNumber": "215-860-5704",
"FirstLinePracticeLocationAddress": "770 NEWTOWN YARDLEY RD",
"SecondLinePracticeLocationAddress": "SUITE 210",
"PracticeLocationAddressCityName": "NEWTOWN",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-860-7031",
"PracticeLocationAddressFaxNumber": "215-860-5704",
"EnumerationDate": "01/26/2007",
"LastUpdateDate": "03/04/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BANIEWICZ",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "M",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "215-860-7031",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "PT-7232-L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}