{
"Npi": {
"NPI": "1841522620",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RESPONSIBLE PAIN & AESTHETIC MANAGEMENT",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "310 GEORGE ST.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BECKLEY",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25801",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-860-1931",
"MailingAddressFaxNumber": "304-860-1933",
"FirstLinePracticeLocationAddress": "310 GEORGE ST.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BECKLEY",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "25801",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-860-1931",
"PracticeLocationAddressFaxNumber": "304-860-1933",
"EnumerationDate": "02/04/2010",
"LastUpdateDate": "09/10/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GORDINHO",
"AuthorizedOfficialFirstName": "JOSE",
"AuthorizedOfficialMiddleName": "JORGE",
"AuthorizedOfficialTitle": "PHYSICIAN/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "304-860-1931",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "82326001",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}