{
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"NPI": "1770749921",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PEOPLES THERAPY INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5809 CALEDONIA ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RALEIGH",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27609-3621",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-345-3457",
"MailingAddressFaxNumber": "919-787-3262",
"FirstLinePracticeLocationAddress": "102 TILGHMAN DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DUNN",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28334-5533",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "910-892-5839",
"PracticeLocationAddressFaxNumber": "910-892-5771",
"EnumerationDate": "08/06/2008",
"LastUpdateDate": "08/06/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEOPLES",
"AuthorizedOfficialFirstName": "ANISSA",
"AuthorizedOfficialMiddleName": "DAWN",
"AuthorizedOfficialTitle": "LICENSED PROFESSIONAL COUNSELOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS",
"AuthorizedOfficialTelephoneNumber": "919-345-7994",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "6617",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}