{
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"FirstLineMailingAddress": "3301 ATLANTIC AVE",
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"MailingAddressCityName": "RALEIGH",
"MailingAddressStateName": "NC",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-819-8991",
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"FirstLinePracticeLocationAddress": "3301 ATLANTIC AVE",
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"PracticeLocationAddressCityName": "RALEIGH",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/29/2018",
"LastUpdateDate": "04/29/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ASCH",
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"AuthorizedOfficialCredential": "MSW, LCSW, LCAS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": "C010587",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}