{
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"FirstLineMailingAddress": "1524 W 227TH ST APT 1",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1524 W 227TH ST APT 1",
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"EnumerationDate": "06/30/2016",
"LastUpdateDate": "06/30/2016",
"NPIDeactivationReasonCode": null,
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"AuthorizedOfficialLastName": "HICKS",
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"Taxonomies": {
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"TaxonomyName": "Mental Illness Intermediate Care Facility",
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}
},
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}
}