{
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"FirstLineMailingAddress": "800 S CATHERINE AVE",
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"MailingAddressStateName": "IL",
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"FirstLinePracticeLocationAddress": "223 W JACKSON BLVD STE 1016",
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"PracticeLocationAddressCityName": "CHICAGO",
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"EnumerationDate": "10/19/2018",
"LastUpdateDate": "02/13/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "RIEDERER",
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"AuthorizedOfficialCredential": "DC",
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"Taxonomies": {
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"TaxonomyName": "Chiropractor",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}