{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SARAH BRUNO O.D.P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4 THISTLE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MEDIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19063-5627",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-840-9705",
"MailingAddressFaxNumber": "610-558-7831",
"FirstLinePracticeLocationAddress": "98 WILMINGTON W CHESTER PIKE",
"SecondLinePracticeLocationAddress": "SUITE102",
"PracticeLocationAddressCityName": "CHADDS FORD",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19317-9010",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-459-2020",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/29/2010",
"LastUpdateDate": "10/17/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRUNO",
"AuthorizedOfficialFirstName": "SARAH",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "OWNER/OPTOMETRIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "610-459-2020",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "OEG001785",
"LicenseNumberStateCode": "PA",
"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."
}
}
}
}