{
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"IsOrgSubpart": "N",
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"OrgName": "EVOLVING WOMAN ENTERPRISES, INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "7300 METRO BLVD",
"SecondLineMailingAddress": "SUITE 455",
"MailingAddressCityName": "EDINA",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55439-2303",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "952-835-1616",
"MailingAddressFaxNumber": "952-835-6182",
"FirstLinePracticeLocationAddress": "7300 METRO BLVD",
"SecondLinePracticeLocationAddress": "SUITE 455",
"PracticeLocationAddressCityName": "EDINA",
"PracticeLocationAddressStateName": "MN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "952-835-1616",
"PracticeLocationAddressFaxNumber": "952-835-6182",
"EnumerationDate": "10/19/2006",
"LastUpdateDate": "11/15/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHUCHMAN",
"AuthorizedOfficialFirstName": "GINA",
"AuthorizedOfficialMiddleName": "RACHEL",
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"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.S.W.",
"AuthorizedOfficialTelephoneNumber": "952-835-1616",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "778",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}