{
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"OrgName": "KATHLEEN S. SPILLANE, MD INC",
"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "PO BOX 218",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WARRINGTON",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18976-0218",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-435-6895",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 VETERANS LN",
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"PracticeLocationAddressCityName": "DOYLESTOWN",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/01/2007",
"LastUpdateDate": "05/19/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SPILLANE",
"AuthorizedOfficialFirstName": "KATHLEEN",
"AuthorizedOfficialMiddleName": "S",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Medicine & Rehabilitation Physician",
"LicenseNumber": "MD424219",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}