{
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"OrgName": "COMPREHENSIVE PAIN CENTER OF SARASOTA INC",
"LastName": null,
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"FirstLineMailingAddress": "PO BOX 39",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SARASOTA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34230-0039",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-539-6360",
"MailingAddressFaxNumber": "941-870-0958",
"FirstLinePracticeLocationAddress": "1921 WALDEMERE ST",
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"PracticeLocationAddressCityName": "SARASOTA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-539-6360",
"PracticeLocationAddressFaxNumber": "941-870-0958",
"EnumerationDate": "10/22/2008",
"LastUpdateDate": "11/06/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DIAZ-RAMIREZ",
"AuthorizedOfficialFirstName": "MYRDALIS",
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"AuthorizedOfficialTitle": "DIRECTOR",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "941-539-6360",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207LP2900X",
"TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
"LicenseNumber": "ME96703",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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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."
}
}
}
}