{
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"FirstLineMailingAddress": "405 N WABASH AVE UNIT 4403",
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"FirstLinePracticeLocationAddress": "405 N WABASH AVE UNIT 4403",
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"PracticeLocationAddressFaxNumber": "312-955-8789",
"EnumerationDate": "06/08/2015",
"LastUpdateDate": "12/27/2023",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "PARK",
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"Taxonomies": {
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"TaxonomyName": "Sleep Medicine (Psychiatry & Neurology) Physician",
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}
},
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}
}
}
}