{
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"OrgName": "CITY OF KEITHSBURG",
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"FirstLineMailingAddress": "601 WASHINGTON ST",
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"MailingAddressCityName": "KEITHSBURG",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61442-9627",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "202 S 6TH ST",
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"PracticeLocationAddressCityName": "KEITHSBURG",
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"EnumerationDate": "12/01/2006",
"LastUpdateDate": "05/21/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BROWN",
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"AuthorizedOfficialTelephoneNumber": "309-374-2414",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": "000002555",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}