{
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"FirstLineMailingAddress": "625 S 5TH ST",
"SecondLineMailingAddress": "SUITE A",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "815-432-0740",
"MailingAddressFaxNumber": "815-432-0742",
"FirstLinePracticeLocationAddress": "625 S 5TH ST",
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"EnumerationDate": "08/17/2012",
"LastUpdateDate": "09/22/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOHLMANN",
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"AuthorizedOfficialTelephoneNumber": "815-432-7736",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}