{
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"FirstLineMailingAddress": "1360 E IRVING PARK RD",
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"MailingAddressCityName": "STREAMWOOD",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60107-3202",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-736-2740",
"MailingAddressFaxNumber": "630-736-2763",
"FirstLinePracticeLocationAddress": "1360 E IRVING PARK RD",
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"PracticeLocationAddressCityName": "STREAMWOOD",
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"EnumerationDate": "07/07/2011",
"LastUpdateDate": "07/07/2011",
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"NPIReactivationDate": null,
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"Gender": null,
"AuthorizedOfficialLastName": "HARCOURT",
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"AuthorizedOfficialTelephoneNumber": "630-483-5578",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychiatric Residential Treatment Facility",
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}
},
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}
}