{
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"OrgName": "OF SPECIAL NOTE INC.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "8374 MARKET ST",
"SecondLineMailingAddress": "BOX 523",
"MailingAddressCityName": "LAKEWOOD RANCH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34202-5137",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-476-7464",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12918 NIGHTSHADE PL",
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"PracticeLocationAddressCityName": "LAKEWOOD RANCH",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/07/2011",
"LastUpdateDate": "02/27/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WICKLUND",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "DIRECTOR, FL CTR FOR PROF. VOICE",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DM, MHS CCC-SLP",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "146009801",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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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."
}
}
}
}