{
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"EIN": null,
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"IsOrgSubpart": "Y",
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"OrgName": "SUNDERRAM V SATYAVADA",
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"OtherCredential": null,
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"FirstLineMailingAddress": "3402 N BIG SPRING ST STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDLAND",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79705-5503",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "432-683-1199",
"MailingAddressFaxNumber": "432-683-1105",
"FirstLinePracticeLocationAddress": "3402 N BIG SPRING ST",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "432-683-1199",
"PracticeLocationAddressFaxNumber": "432-683-1105",
"EnumerationDate": "09/20/2006",
"LastUpdateDate": "01/06/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SATYAVADA",
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"AuthorizedOfficialMiddleName": "VENKATA",
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"AuthorizedOfficialCredential": "CRT/ RCP",
"AuthorizedOfficialTelephoneNumber": "432-683-1199",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "0058466",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}