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General NPI Number Information
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NPI Number | 1578940441
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Entity Type | Individual
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Provider Name | SONIA HASBUN DO
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Gender | Female
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 3640 NW SAMARITAN DR STE 100
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City | CORVALLIS
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State | OR
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Zip | 97330-3738
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Country | US
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Telephone | 541-768-5205
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1189
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City | CORVALLIS
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State | OR
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Zip | 97339-1189
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Country | US
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Telephone |
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | O-1536
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DO206015
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License Number State | OR
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