{
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    "authorized_official_last_name": "COLEMAN",
    "authorized_official_telephone_number": "9197090197",
    "authorized_official_title_or_position": "Director Revenue Cycle",
    "certification_date": "2021-08-25",
    "enumeration_date": "2021-08-24",
    "last_updated": "2021-08-25",
    "organization_name": "BROADSTEP ACADEMY-ILLINOIS INC",
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    {
      "address_1": "805 THORNAPPLE LN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MARENGO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "601523414",
      "state": "IL",
      "telephone_number": "815-568-5323"
    },
    {
      "address_1": "8521 SIX FORKS RD STE 300",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RALEIGH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "276155294",
      "state": "NC",
      "telephone_number": "919-709-0197"
    }
  ],
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    {
      "code": "320800000X",
      "desc": "Community Based Residential Treatment Facility, Mental Illness",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
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    "cms_pecos_eligibility": {
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  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
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}