{
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"MailingAddressCityName": "KING OF PRUSSIA",
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"FirstLinePracticeLocationAddress": "970 PULASKI DR",
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"PracticeLocationAddressCityName": "KING OF PRUSSIA",
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"EnumerationDate": "05/02/2022",
"LastUpdateDate": "05/02/2022",
"NPIDeactivationReasonCode": null,
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"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": "DC009420",
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}
},
"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."
}
}
}
}