{
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"FirstLineMailingAddress": "525 DUNHAM RD STE 55",
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"MailingAddressStateName": "IL",
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"FirstLinePracticeLocationAddress": "1105 CURTISS ST FL 2",
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"PracticeLocationAddressCityName": "DOWNERS GROVE",
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"EnumerationDate": "01/04/2020",
"LastUpdateDate": "01/04/2020",
"NPIDeactivationReasonCode": null,
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"GenderCode": null,
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"AuthorizedOfficialLastName": "GRAFF",
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"AuthorizedOfficialCredential": "MA, LCPC",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}