{
"Npi": {
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"IsOrgSubpart": "N",
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"OrgName": "MID-ATLANTIC HEADACHE INSTITUTE INC",
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "1777 REISTERSTOWN RD",
"SecondLineMailingAddress": "SUITE 104 WEST",
"MailingAddressCityName": "PIKESVILLE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21208-1306",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-602-1999",
"MailingAddressFaxNumber": "410-602-1966",
"FirstLinePracticeLocationAddress": "1777 REISTERSTOWN RD",
"SecondLinePracticeLocationAddress": "SUITE 104 WEST",
"PracticeLocationAddressCityName": "PIKESVILLE",
"PracticeLocationAddressStateName": "MD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-602-1999",
"PracticeLocationAddressFaxNumber": "410-602-1966",
"EnumerationDate": "10/31/2007",
"LastUpdateDate": "02/26/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIBEIRO",
"AuthorizedOfficialFirstName": "MARCIA",
"AuthorizedOfficialMiddleName": "CUOTO",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "410-602-1999",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "D0051763",
"LicenseNumberStateCode": "MD",
"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."
}
}
}
}