{
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"FirstLineMailingAddress": "1016 W JACKSON BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60607-2914",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "188-827-3565",
"MailingAddressFaxNumber": "188-829-3565",
"FirstLinePracticeLocationAddress": "1016 W JACKSON BLVD",
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"PracticeLocationAddressCityName": "CHICAGO",
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"PracticeLocationAddressTelephoneNumber": "888-273-5650",
"PracticeLocationAddressFaxNumber": "888-293-5650",
"EnumerationDate": "11/04/2014",
"LastUpdateDate": "11/05/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALTON",
"AuthorizedOfficialFirstName": "LASHUNTE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "312-282-1593",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Case Manager/Care Coordinator",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}