{
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"FirstLineMailingAddress": "2323 N MAYFAIR RD",
"SecondLineMailingAddress": "SUITE 300",
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"MailingAddressPostalCode": "53226-1506",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "414-384-6700",
"MailingAddressFaxNumber": "414-727-1058",
"FirstLinePracticeLocationAddress": "3111 W RAWSON AVE",
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"PracticeLocationAddressCityName": "FRANKLIN",
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"PracticeLocationAddressTelephoneNumber": "414-325-4330",
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"EnumerationDate": "02/23/2015",
"LastUpdateDate": "02/23/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KLUCK",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "414-643-4027",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}