{
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"FirstLineMailingAddress": "PO BOX 84",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELLSWORTH",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "67439-0084",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "785-472-4300",
"MailingAddressFaxNumber": "785-472-4300",
"FirstLinePracticeLocationAddress": "525 E 3RD ST",
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"PracticeLocationAddressCityName": "ELLSWORTH",
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"EnumerationDate": "12/18/2009",
"LastUpdateDate": "12/18/2009",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEINHAUS",
"AuthorizedOfficialFirstName": "STEVEN",
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"AuthorizedOfficialCredential": "MS, TLPC, CADC II",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": "07190914",
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}
},
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}
}