{
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"IsOrgSubpart": "Y",
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"ParentOrgTIN": null,
"OrgName": "BELMONT & WESTERN FARMACIA LLC",
"LastName": null,
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"OtherOrgName": null,
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"FirstLineMailingAddress": "2212 W. BELMONT AVE",
"SecondLineMailingAddress": "2212 W. BELMONT AVE",
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60618-6421",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-880-5544",
"MailingAddressFaxNumber": "773-880-1033",
"FirstLinePracticeLocationAddress": "2212 W. BELMONT AVE",
"SecondLinePracticeLocationAddress": "2212 W. BELMONT AVE",
"PracticeLocationAddressCityName": "CHICAGO",
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"PracticeLocationAddressPostalCode": "60618-6421",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "773-880-5544",
"PracticeLocationAddressFaxNumber": "773-880-1033",
"EnumerationDate": "12/27/2006",
"LastUpdateDate": "08/04/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHETH",
"AuthorizedOfficialFirstName": "KAMLESH",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMACIST",
"AuthorizedOfficialTelephoneNumber": "773-880-5544",
"Taxonomies": {
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}