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General NPI Number Information
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NPI Number | 1205874146
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Entity Type | Individual
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Provider Name | RONDA SOTO NP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 65-1267 KAWAIHAE RD
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City | KAMUELA
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State | HI
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Zip | 96743-8406
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Country | US
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Telephone | 808-887-6410
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Fax | 808-887-6429
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Provider Business Mailing Address
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Address Line | 74-5027A TOMI TOMI DRIVE
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City | KAILUA KONA
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State | HI
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Zip | 96740-9626
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Country | US
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Telephone | 808-987-4506
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Fax | 808-326-9071
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | A0404453
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN-RX 145
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License Number State | HI
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