{
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"OrgName": "KENNETH VARANO DO INC.",
"LastName": null,
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"NameSuffix": null,
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"FirstLineMailingAddress": "555 CROTON RD",
"SecondLineMailingAddress": "SUITE 140",
"MailingAddressCityName": "KING OF PRUSSIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19406-3176",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "877-278-3697",
"MailingAddressFaxNumber": "877-278-3698",
"FirstLinePracticeLocationAddress": "555 CROTON RD",
"SecondLinePracticeLocationAddress": "SUITE 140",
"PracticeLocationAddressCityName": "KING OF PRUSSIA",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "877-278-3697",
"PracticeLocationAddressFaxNumber": "877-278-3698",
"EnumerationDate": "11/23/2009",
"LastUpdateDate": "11/23/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VARANO",
"AuthorizedOfficialFirstName": "KENNETH",
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"AuthorizedOfficialTitle": "DIRECTOR",
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"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "877-278-3697",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "OS009028L",
"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."
}
}
}
}