{
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"FirstLineMailingAddress": "220 SOUTH SAINT PAUL",
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"MailingAddressTelephoneNumber": "612-517-7218",
"MailingAddressFaxNumber": "651-340-5332",
"FirstLinePracticeLocationAddress": "155 WABASHA ST S STE 122",
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"PracticeLocationAddressTelephoneNumber": "512-278-2246",
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"EnumerationDate": "12/27/2017",
"LastUpdateDate": "01/19/2023",
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"AuthorizedOfficialLastName": "NELSON",
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"Taxonomies": {
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"TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
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}
},
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}
}