{
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"OrgName": "ALLEGHENY HEALTH NETWORK SURGERY CENTER - BETHEL PARK, LLC",
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"NamePrefix": null,
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"FirstLineMailingAddress": "990 HIGBEE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BETHEL PARK",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15102-2989",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "412-854-7910",
"MailingAddressFaxNumber": "412-854-7929",
"FirstLinePracticeLocationAddress": "990 HIGBEE DR",
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"PracticeLocationAddressCityName": "BETHEL PARK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "412-854-7910",
"PracticeLocationAddressFaxNumber": "412-854-7929",
"EnumerationDate": "04/21/2015",
"LastUpdateDate": "08/10/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAUL",
"AuthorizedOfficialFirstName": "JOHN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "412-330-2466",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "23921501",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}