{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "DR AVIA REUVENI DPM PA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "407 ALAMANDA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HALLANDALE BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33009-6507",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-433-2254",
"MailingAddressFaxNumber": "877-940-3651",
"FirstLinePracticeLocationAddress": "127 PINE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HARRISBURG",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17101-1240",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-503-7676",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/24/2014",
"LastUpdateDate": "01/07/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REUVENI",
"AuthorizedOfficialFirstName": "AVIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "717-433-2254",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}