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General NPI Number Information
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NPI Number | 1013909498
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Entity Type | Individual
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Provider Name | SONIA R JOSEPH DO
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Gender | Female
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 225 E JACKSON AVE MAILSLOT #83
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City | JONESBORO
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State | AR
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Zip | 72401-3119
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Country | US
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Telephone | 870-207-1630
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Fax | 870-207-6581
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Provider Business Mailing Address
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Address Line | 225 E JACKSON AVE MAILSLOT #83
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City | JONESBORO
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State | AR
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Zip | 72401-3119
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Country | US
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Telephone | 870-207-1630
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Fax | 870-207-6581
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 236183
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E7815
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License Number State | AR
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