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General NPI Number Information
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NPI Number | 1093450454
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Entity Type | Individual
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Provider Name | AGNES SERRANILLA-SONIDO MD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2022
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 94-837 WAIPAHU ST
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City | WAIPAHU
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State | HI
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Zip | 96797-3320
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Country | US
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Telephone | 808-671-3911
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Fax | 808-677-2720
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Provider Business Mailing Address
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Address Line | 94-837 WAIPAHU ST
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City | WAIPAHU
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State | HI
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Zip | 96797-3320
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Country | US
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Telephone | 808-671-3911
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Fax | 808-677-2720
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MDR-8277
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD-25424
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License Number State | HI
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