{
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"IsOrgSubpart": "N",
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"OrgName": "DH PHYSICIANS AMBULATORY SERVICES",
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 829779",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHILADELPHIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19182-9779",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "267-370-5296",
"MailingAddressFaxNumber": "215-230-3725",
"FirstLinePracticeLocationAddress": "102 PROGRESS DR STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DOYLESTOWN",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18901-2516",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "267-864-0023",
"PracticeLocationAddressFaxNumber": "267-864-0024",
"EnumerationDate": "06/28/2016",
"LastUpdateDate": "09/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COSTELLO",
"AuthorizedOfficialFirstName": "MATTHEW",
"AuthorizedOfficialMiddleName": "F",
"AuthorizedOfficialTitle": "SENIOR EXECUTIVE DIRECTOR",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "267-885-4335",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}