{
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"FirstLineMailingAddress": "3034 KNIGHTS RD STE A",
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"MailingAddressCityName": "BENSALEM",
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"MailingAddressTelephoneNumber": "215-638-7400",
"MailingAddressFaxNumber": "267-892-5266",
"FirstLinePracticeLocationAddress": "3034 KNIGHTS RD STE A",
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"EnumerationDate": "05/05/2025",
"LastUpdateDate": "05/05/2025",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "FAROOQ",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}