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NPI 1992283980

NPI 1992283980 : SONIA Q. COSIO, D.D.S : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1992283980
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    Entity Type          |    Organization 
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    Legal Business Name  |    SONIA Q. COSIO, D.D.S 
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Dates
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    Enumeration Date     |    08/01/2018
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    Last Update Date     |    08/01/2018
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Provider Practice Location Address
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    Address Line         |    1441 KAPIOLANI BLVD #518 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814
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    Country              |    US
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    Telephone            |    808-455-3045
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    Fax                  |    808-946-9146
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Provider Business Mailing Address
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    Address Line         |    1441 KAPIOLANI BLVD #518 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814
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    Country              |    US
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    Telephone            |    808-455-3045
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    Fax                  |    808-946-9146
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SONIA Q. COSIO 
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    Credential           |    DDS
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    Telephone            |    808-455-3045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    HI
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