{
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"FirstLineMailingAddress": "35 N 2ND ST",
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"MailingAddressTelephoneNumber": "215-723-8202",
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"FirstLinePracticeLocationAddress": "35 N 2ND ST",
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"EnumerationDate": "11/17/2025",
"LastUpdateDate": "11/17/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PSOMIADIS",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}