{
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"OrgName": "WEISS MEMORIAL HOSPITAL",
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"FirstLineMailingAddress": "4600 N CLARENDON AVE",
"SecondLineMailingAddress": "APT.1011",
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "571-309-4490",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4646 N MARINE DR",
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"EnumerationDate": "07/17/2012",
"LastUpdateDate": "07/17/2012",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HUSEYNOV",
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"AuthorizedOfficialTelephoneNumber": "571-309-4490",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Chronic Disease Hospital",
"LicenseNumber": "125.061167",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}