{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "COMPREHENSIVE FAMILY HEALTH CARE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1396",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAPE GIRARDEAU",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63702-1396",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "573-335-1344",
"MailingAddressFaxNumber": "573-335-3992",
"FirstLinePracticeLocationAddress": "142 S WINCHESTER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BENTON",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63736-0000",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "573-335-1344",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/08/2008",
"LastUpdateDate": "08/22/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILLER",
"AuthorizedOfficialFirstName": "ROBIN",
"AuthorizedOfficialMiddleName": "E.",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "573-561-4814",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "100630",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QR1300X",
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"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."
}
}
}
}