{
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"FirstLineMailingAddress": "238 CHARLESTON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROMEOVILLE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60446-4133",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "331-250-3527",
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"FirstLinePracticeLocationAddress": "1236 W BOUGHTON RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BOLINGBROOK",
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"EnumerationDate": "01/25/2022",
"LastUpdateDate": "01/25/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OWUSU-ANSAH",
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"AuthorizedOfficialCredential": "RPH",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332900000X",
"TaxonomyName": "Non-Pharmacy Dispensing Site",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}