{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SELECT REHABILITATION INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"FirstLineMailingAddress": "2600 COMPASS RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GLENVIEW",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60026-8001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-441-5593",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "720 ARBOR VITAE PL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VERONA",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53593-1763",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-441-5593",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/12/2015",
"LastUpdateDate": "11/13/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WOLFE",
"AuthorizedOfficialFirstName": "ANNA",
"AuthorizedOfficialMiddleName": "GARDINA",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MS.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-441-5593",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0400X",
"TaxonomyName": "Rehabilitation Clinic/Center",
"LicenseNumber": "2133-26",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}