{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ACE IMMEDIATE CARE",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "8737 DRAKE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SKOKIE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60076-2311",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-856-0747",
"MailingAddressFaxNumber": "773-856-0490",
"FirstLinePracticeLocationAddress": "7136 N CLARK ST",
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"PracticeLocationAddressCityName": "CHICAGO",
"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressTelephoneNumber": "773-856-0747",
"PracticeLocationAddressFaxNumber": "773-856-0490",
"EnumerationDate": "09/28/2011",
"LastUpdateDate": "09/28/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MUGHAL",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}