{
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"ParentOrgLBN": null,
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"OrgName": "CARMI-WHITE CO. C.U.S.D. NO. 5",
"LastName": null,
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"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "301 W MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARMI",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62821-1474",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "618-382-2341",
"MailingAddressFaxNumber": "618-384-3207",
"FirstLinePracticeLocationAddress": "301 W MAIN ST",
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"PracticeLocationAddressCityName": "CARMI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "618-382-2341",
"PracticeLocationAddressFaxNumber": "618-384-3207",
"EnumerationDate": "01/30/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TALLEY",
"AuthorizedOfficialFirstName": "KEITH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SUPERINTENDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "PH.D.",
"AuthorizedOfficialTelephoneNumber": "618-382-2341",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251300000X",
"TaxonomyName": "Local Education Agency (LEA)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}