{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "MEREDITH K.L. PANG, M.D., INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "1834 NUUANU AVE STE 105",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HONOLULU",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96817-2427",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-537-2932",
"MailingAddressFaxNumber": "808-537-2932",
"FirstLinePracticeLocationAddress": "1834 NUUANU AVE",
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"PracticeLocationAddressCityName": "HONOLULU",
"PracticeLocationAddressStateName": "HI",
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"PracticeLocationAddressTelephoneNumber": "808-537-2932",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/16/2010",
"LastUpdateDate": "09/16/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PANG",
"AuthorizedOfficialFirstName": "MEREDITH",
"AuthorizedOfficialMiddleName": "KWOCK",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M..D.",
"AuthorizedOfficialTelephoneNumber": "808-537-2932",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Y00000X",
"TaxonomyName": "Otolaryngology Physician",
"LicenseNumber": "MD-01966",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}