{
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"FirstLinePracticeLocationAddress": "939 W MADISON ST",
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"PracticeLocationAddressCityName": "CHICAGO",
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"EnumerationDate": "07/18/2015",
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"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
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"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}