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NPI 1982214755

NPI 1982214755 : ANDREA SOTOLONGO HEARING SPECIALIST : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1982214755
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREA SOTOLONGO HEARING SPECIALIST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2020
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    Last Update Date     |    10/07/2020
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Provider Practice Location Address
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    Address Line         |    1003 BISHOP ST STE 2700 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-6475
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    Country              |    US
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    Telephone            |    800-346-4112
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1296 KAPIOLANI BLVD APT 1806 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-2882
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    Country              |    US
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    Telephone            |    305-781-4655
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    Fax                  |    844-880-0651
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    2101002395
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    HA-308
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    License Number State |    HI
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