{
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"FirstLineMailingAddress": "PO BOX 277",
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"MailingAddressCityName": "GLENVIEW",
"MailingAddressStateName": "IL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "3000 N HALSTED ST",
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"EnumerationDate": "07/13/2007",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAYLOR",
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"AuthorizedOfficialTelephoneNumber": "312-415-0344",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Surgery Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}