{
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"EIN": null,
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"OrgName": null,
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"FirstLineMailingAddress": "2121 ALA WAI BLVD",
"SecondLineMailingAddress": "SUITE #703",
"MailingAddressCityName": "HONOLULU",
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"MailingAddressPostalCode": "96815-2216",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-386-4693",
"MailingAddressFaxNumber": "808-926-5965",
"FirstLinePracticeLocationAddress": "2121 ALA WAI BLVD",
"SecondLinePracticeLocationAddress": "SUITE #703",
"PracticeLocationAddressCityName": "HONOLULU",
"PracticeLocationAddressStateName": "HI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-386-4693",
"PracticeLocationAddressFaxNumber": "808-926-5965",
"EnumerationDate": "06/10/2010",
"LastUpdateDate": "06/10/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MAT #5930",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}