{
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"FirstLineMailingAddress": "3108 S ROUTE 59",
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"MailingAddressCityName": "NAPERVILLE",
"MailingAddressStateName": "IL",
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"FirstLinePracticeLocationAddress": "1528 W MONROE ST",
"SecondLinePracticeLocationAddress": "SUITE 100",
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"EnumerationDate": "01/15/2012",
"LastUpdateDate": "01/15/2012",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "KEATING",
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"AuthorizedOfficialCredential": "D.O",
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"Taxonomy": {
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"TaxonomyName": "Psychiatry Physician",
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"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}