{
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"NamePrefix": null,
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"FirstLineMailingAddress": "1701 W RITNER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHILADELPHIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19145-4324",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-336-2145",
"MailingAddressFaxNumber": "215-336-5732",
"FirstLinePracticeLocationAddress": "1701 W RITNER ST",
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"PracticeLocationAddressTelephoneNumber": "215-336-2145",
"PracticeLocationAddressFaxNumber": "215-336-5732",
"EnumerationDate": "03/01/2013",
"LastUpdateDate": "06/24/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ATTANASIO",
"AuthorizedOfficialFirstName": "MICHAEL",
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"AuthorizedOfficialTelephoneNumber": "215-336-2145",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}