{
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"EIN": null,
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"OrgName": null,
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"FirstLineMailingAddress": "95-1057 AINAMAKUA DR.",
"SecondLineMailingAddress": "SUITE F-11",
"MailingAddressCityName": "MILILANI",
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"MailingAddressFaxNumber": "808-657-3222",
"FirstLinePracticeLocationAddress": "95-1057 AINAMAKUA DR.",
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"PracticeLocationAddressCityName": "MILILANI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-597-1005",
"PracticeLocationAddressFaxNumber": "808-657-3222",
"EnumerationDate": "10/19/2015",
"LastUpdateDate": "01/22/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": [
{
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MAT-14437",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225100000X",
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}