{
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"FirstLineMailingAddress": "5000 W CHAMBERS ST",
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"MailingAddressPostalCode": "53210-1650",
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"FirstLinePracticeLocationAddress": "5000 W CHAMBERS ST",
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"EnumerationDate": "05/09/2006",
"LastUpdateDate": "01/07/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCCULLOUGH",
"AuthorizedOfficialFirstName": "MICHAEL",
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"AuthorizedOfficialTelephoneNumber": "414-465-3736",
"Taxonomies": {
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"TaxonomyName": "General Acute Care Hospital",
"LicenseNumber": "30",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}