{
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"IsOrgSubpart": "N",
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"OrgName": "HAWAII ENDOCRINE ASSOCIATES LLC",
"LastName": null,
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"FirstLineMailingAddress": "415 DAIRY RD",
"SecondLineMailingAddress": "SUITE E-438",
"MailingAddressCityName": "KAHULUI",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96732-2312",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-242-5856",
"MailingAddressFaxNumber": "808-242-5949",
"FirstLinePracticeLocationAddress": "24 N CHURCH ST",
"SecondLinePracticeLocationAddress": "SUITE 403",
"PracticeLocationAddressCityName": "WAILUKU",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-242-5856",
"PracticeLocationAddressFaxNumber": "808-242-5949",
"EnumerationDate": "08/22/2007",
"LastUpdateDate": "08/22/2007",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HANSEN",
"AuthorizedOfficialFirstName": "TII",
"AuthorizedOfficialMiddleName": "PETER",
"AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "808-242-5856",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RE0101X",
"TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
"LicenseNumber": "6493",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}