{
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"OrgName": "HEAD HEART AND SOUL MENTAL HEALTH COUNSELING",
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"FirstLineMailingAddress": "308 1ST AVENUE PL NE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONOVER",
"MailingAddressStateName": "NC",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1985 TATE BLVD SE STE 5",
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"PracticeLocationAddressCityName": "HICKORY",
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"EnumerationDate": "09/10/2026",
"LastUpdateDate": "09/10/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARSHAW",
"AuthorizedOfficialFirstName": "KIMBERLY HARSHAW",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}