{
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"FirstLineMailingAddress": "3930 N PINE GROVE AVE",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "3930 N PINE GROVE AVE",
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"EnumerationDate": "03/07/2016",
"LastUpdateDate": "03/07/2016",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "BARBER",
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"AuthorizedOfficialCredential": "LCPC",
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"Taxonomies": {
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"TaxonomyName": "Professional Counselor",
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"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}