{
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"OrgName": "HALE LAPAAU SKIN AND BODY LLC",
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"FirstLineMailingAddress": "PO BOX 6246",
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"MailingAddressCityName": "KANEOHE",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96744-9171",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1051 KEOLU DR STE 104",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KAILUA",
"PracticeLocationAddressStateName": "HI",
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"EnumerationDate": "07/10/2017",
"LastUpdateDate": "07/10/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "YANAGI",
"AuthorizedOfficialFirstName": "TIARE",
"AuthorizedOfficialMiddleName": "N T",
"AuthorizedOfficialTitle": "OWNER/ LICENSED MASSAGE THERAPIST",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "808-367-3397",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MAT-10756",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}