{
"Npi": {
"NPI": "1659600906",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AUDIOMETRICS, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "919 CONESTOGA RD",
"SecondLineMailingAddress": "BLDG 3, SUITE 112",
"MailingAddressCityName": "BRYN MAWR",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19010-1352",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-546-6050",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "826 MAIN ST STE 302",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PHOENIXVILLE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19460-4459",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-546-6050",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/16/2009",
"LastUpdateDate": "09/08/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ISAYEV",
"AuthorizedOfficialFirstName": "JENNIFER",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "215-546-6050",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "AT000374L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "237600000X",
"TaxonomyName": "Audiologist-Hearing Aid Fitter",
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}