{
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"OrgName": "AWARENESS, INC.",
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"FirstLineMailingAddress": "110 MOONEY DR",
"SecondLineMailingAddress": "SUITE 1",
"MailingAddressCityName": "BOURBONNAIS",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60914-2171",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "815-370-2020",
"MailingAddressFaxNumber": "815-937-6905",
"FirstLinePracticeLocationAddress": "110 MOONEY DR",
"SecondLinePracticeLocationAddress": "SUITE 1",
"PracticeLocationAddressCityName": "BOURBONNAIS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "815-370-2020",
"PracticeLocationAddressFaxNumber": "815-937-6905",
"EnumerationDate": "05/21/2008",
"LastUpdateDate": "05/21/2008",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STOLTZ",
"AuthorizedOfficialFirstName": "CELIA",
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"AuthorizedOfficialCredential": "LCPC",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "180-002919",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}