{
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"FirstLineMailingAddress": "395A KAHOLALELE RD",
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"MailingAddressCityName": "KAPAA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-634-0127",
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"EnumerationDate": "01/15/2013",
"LastUpdateDate": "01/15/2013",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "CAMBEILH",
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"AuthorizedOfficialCredential": "L.C.S.W",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
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"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}