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NPI 1013833144

NPI 1013833144 : VONNA SUDA EDS : POTOSI, MO

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General NPI Number Information
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    NPI Number           |    1013833144
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    Entity Type          |    Individual 
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    Provider Name        |    VONNA SUDA EDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/24/2026
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    Last Update Date     |    06/26/2026
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Provider Practice Location Address
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    Address Line         |    303 S LEAD ST 
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    City                 |    POTOSI
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    State                |    MO
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    Zip                  |    63664-1823
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    Country              |    US
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    Telephone            |    573-438-2977
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10725 PEPPERSVILLE RD 
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    City                 |    BLACKWELL
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    State                |    MO
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    Zip                  |    63626-9568
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    Country              |    US
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    Telephone            |    573-436-9696
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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        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    71820
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    License Number State |    MO
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