{
"Npi": {
"NPI": "1417324039",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "TRUE SELF, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "137 STARNES COVE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ASHEVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28806-1146",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "828-713-8338",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "390 MERRIMON AVE",
"SecondLinePracticeLocationAddress": "UNIT 1",
"PracticeLocationAddressCityName": "ASHEVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28801-1222",
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"PracticeLocationAddressTelephoneNumber": "828-713-8338",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/31/2015",
"LastUpdateDate": "08/31/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EDWARDS",
"AuthorizedOfficialFirstName": "HEATHER",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "PT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "P9452",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}