{
"Npi": {
"NPI": "1932648474",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DORENE TOUTANT LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1704 WILI PA LOOP",
"SecondLineMailingAddress": "272",
"MailingAddressCityName": "WAILUKU",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96793-1240",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-755-8726",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "50 KAUKINI LOOP",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WAILUKU",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96793-5755",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-755-8726",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/16/2017",
"LastUpdateDate": "02/16/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TOUTANT",
"AuthorizedOfficialFirstName": "DORENE",
"AuthorizedOfficialMiddleName": "CATHERINE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "626-755-8726",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "4199",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}