{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "STEPHANIE CALATO COUNSELING",
"LastName": null,
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"FirstLineMailingAddress": "4615 E STATE ST",
"SecondLineMailingAddress": "SUITE 130",
"MailingAddressCityName": "ROCKFORD",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61108-2100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "815-218-7964",
"MailingAddressFaxNumber": "815-391-8004",
"FirstLinePracticeLocationAddress": "3504 WIND POINT DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROCKFORD",
"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "815-218-7964",
"PracticeLocationAddressFaxNumber": "815-391-8004",
"EnumerationDate": "08/08/2013",
"LastUpdateDate": "07/27/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CALATO",
"AuthorizedOfficialFirstName": "STEPHANIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "COUNSELOR/OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCPC",
"AuthorizedOfficialTelephoneNumber": "815-218-7964",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "180.007094",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}