{
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"FirstLineMailingAddress": "2001 S CALIFORNIA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2875 W. 19TH STREET",
"SecondLinePracticeLocationAddress": "PHARMACY DEPARTMENT",
"PracticeLocationAddressCityName": "CHICAGO",
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"EnumerationDate": "11/04/2022",
"LastUpdateDate": "12/14/2022",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEDAGLIA",
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"AuthorizedOfficialTelephoneNumber": "773-484-4783",
"Taxonomies": {
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{
"TaxonomyCode": "333600000X",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}