{
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"FirstLineMailingAddress": "PO BOX 2190",
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"MailingAddressCityName": "ORLAND PARK",
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"FirstLinePracticeLocationAddress": "17901 GOVERNORS HWY",
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"EnumerationDate": "04/20/2007",
"LastUpdateDate": "02/12/2013",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHAH",
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"Taxonomies": {
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"TaxonomyName": "Obstetrics Physician",
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"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}