{
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"EIN": null,
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"LastName": "WINTER",
"FirstName": "TERESA",
"MiddleName": "MARIE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MASSAGE THERAPIST",
"OtherOrgName": null,
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"OtherLastName": "WINTER",
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"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "32125 CO RD 14",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PAYNESVILLE",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "56362",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "320-987-3558",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "750 STATE HWY 55",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PAYNESVILLE",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "56362",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "320-243-4700",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/08/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}